Organization Active NPI

Wegmans Food Markets, Inc.

  • Pharmacy
  • Bridgewater, NJ
National Provider Identifier
1376512913
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
RS005896 Issued in NJ
Legal business name
WEGMANS FOOD MARKETS, INC.
Practice address
724 Route 202 South
Attn: Pharmacy Manager
Bridgewater, NJ 08807-2551
Phone
(908) 243-9645
Fax
(908) 243-9644
NPI assigned
Mar 16, 2006
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 RS005896 NJ Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

724 Route 202 South
Attn: Pharmacy Manager
Bridgewater, NJ 08807-2551

Mailing address

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

Other names 1

  • Wegmans Pharmacy #096 Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930052293 NJ DME Supplier - PharmacyDME Supplier - Grocery Store 6002842754 Practice locations: Bridgewater, NJ
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…

Other NPIs on the same Medicare enrollment 8

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

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

724 US Highway 202
Bridgewater, NJ 08807
Phone (908) 243-9645

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": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1376512913",
    "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": "724 ROUTE 202 SOUTH",
            "address_2": "ATTN: PHARMACY MANAGER",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072551",
            "telephone_number": "908-243-9645",
            "fax_number": "908-243-9644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEGMANS FOOD MARKETS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEGMANS FOOD MARKETS, INC.",
        "enumeration_date": "2006-03-16",
        "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": "RS005896",
            "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 #096",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wegmans Pharmacy #096",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bridgewater, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.