NPIMap

Organization Active NPI

Wegmans Food Markets, Inc.

  • Pharmacy
  • Montvale, NJ
National Provider Identifier
1255859658
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
28RS00757900 Issued in NJ
Legal business name
WEGMANS FOOD MARKETS, INC.
Practice address
100 Farm VW
Montvale, NJ 07645-1865
Phone
(551) 249-2145
Fax
(551) 249-2198
NPI assigned
Sep 6, 2017
Organization subpart
Yes
Parent organization
WEGMANS FOOD MARKETS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Erin Heintz
Title
Secretary
Phone
(585) 429-3902

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X 28RS00757900 NJ Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

100 Farm VW
Montvale, NJ 07645-1865

Mailing address

1500 Brooks Ave
Attn: Pharmacy Office
Rochester, NY 14624
Phone (585) 239-2009

Other names 1

  • Wegmans Pharmacy #105 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20101203001125 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 6002842754 8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Princeton, NJ; Woodbridge, NJ; Parsippany, NJ; Ocean, NJ; Mt Laurel, NJ; Montvale, NJ; Manalapan, NJ; Cherry Hill, NJ…
O20180214000746 NJ DME Supplier - Pharmacy 6002842754 Practice locations: Montvale, NJ

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
Wegmans Food Markets, Inc.100 Farm VW, Montvale, NJ 07645-1865(551) 249-2145 Epoetin|Immunosuppressive Drugs|Infusion 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)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Orthoses: Off-Th… Accepts assignmentParticipating since Oct 24, 2010

National Provider Directory

National Provider Directory
Tax ID family
Wegmans Pharmacy 058100 organizations share this tax ID, including this one
Part of
Wegmans Pharmacy 058

Organizations with this tax ID in the same state 8

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

100 Farm Vw
Montvale, NJ 07645
Phone (551) 249-2144

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1255859658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 BROOKS AVE",
            "address_2": "ATTN: PHARMACY OFFICE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14624",
            "telephone_number": "585-239-2009",
            "fax_number": "585-239-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FARM VW",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451865",
            "telephone_number": "551-249-2145",
            "fax_number": "551-249-2198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEGMANS FOOD MARKETS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEGMANS FOOD MARKETS, INC.",
        "enumeration_date": "2017-09-06",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "HEINTZ",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "585-429-3902"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "28RS00757900",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wegmans Pharmacy #105",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montvale, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.