Organization Active NPI

Weis Markets Inc

  • Community/Retail Pharmacy
  • Lancaster, PA
National Provider Identifier
1124051453
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
WEIS MARKETS INC
Practice address
1204 Millersville Pike
Lancaster, PA 17603-6656
Phone
(717) 393-6074
Fax
(717) 399-9404
NPI assigned
Jul 9, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Jeffery Maltese, RPH
Title
Vice President Pharmacy
Phone
(570) 863-2809

Corporate family (same tax ID) 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Weis Pharmacy 411204 Millersville Pike, Lancaster, PA 17603-6656(717) 393-6074 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Canes and/or Crutches|Ostomy Supplies|Urological Supplies|Surgical Dressings Accepts assignmentParticipating since Sep 1, 2008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080915000562 PA Part B Supplier - Mass Immunization (Roster Biller Only) 8527134642 This NPI is an additional NPI on the enrollment
O20100930013484 PA DME Supplier - PharmacyDME Supplier - Grocery Store 8527134642 Practice locations: Lancaster, PA

National Provider Directory

National Provider Directory
Tax ID family
Weis Pharmacy 26 (128 organizations share this tax ID)

Locations

1204 Millersville Pike
Lancaster, PA 17603
Phone (717) 392-6511

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PP413661L PA
Community/Retail Pharmacy 3336C0003X Primary

Addresses

NPPES NPI Registry

Primary practice location

1204 Millersville Pike
Lancaster, PA 17603-6656

Mailing address

1000 S 2ND St
PO Box 471
Sunbury, PA 17801-3318
Phone (570) 286-3623

Other identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
1007742100168MedicaidPA
1006733MedicaidPA
3949483OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

NPPES NPI Registry
  • WEIS PHARMACY Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 7, 2008.

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1124051453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S 2ND ST",
            "address_2": "PO BOX 471",
            "city": "SUNBURY",
            "state": "PA",
            "postal_code": "178013318",
            "telephone_number": "570-286-3623",
            "fax_number": "570-988-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 MILLERSVILLE PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176036656",
            "telephone_number": "717-393-6074",
            "fax_number": "717-399-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEIS MARKETS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "MALTESE",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_title_or_position": "VICE PRESIDENT PHARMACY",
        "authorized_official_telephone_number": "570-863-2809",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP413661L",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007742100168",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1006733",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3949483",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEIS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.