Active NPI
Weis Markets Inc
- Community/Retail Pharmacy
- Vestal, NY
National Provider Identifier
1386974293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 029953
- Legal business name
- WEIS MARKETS INC
- Practice address
- 100 Rano Blvd
Vestal, NY 13850-2798 - Phone
- (607) 798-8878
- Fax
- (607) 798-8876
- NPI assigned
- Dec 29, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffery Maltese, RPH
- Title
- Vice President Pharmacy
- Phone
- (570) 863-2809
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 029953 | NY | Primary |
Addresses
Primary practice location
100 Rano Blvd
Vestal, NY 13850-2798
Mailing address
1000 S 2ND St
PO Box 471
Sunbury, PA 17801-3318
Phone (570) 286-3623
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3363912 | Other | NY | NCPDP |
Other names 1
- WEIS PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930099562 | NY | DME Supplier - Pharmacy | 8527134642 | Practice locations: Vestal, NY |
| O20101220000077 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 8527134642 |
3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Binghamton, NY; Elmira, NY; Vestal, NY |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Weis Pharmacy #222 | 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 assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Weis Pharmacy 26
Organizations with this tax ID in the same state 2
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Community/Retail Pharmacy
- Elmira, NY
- NPI 1699708925
-
- Community/Retail Pharmacy
- Binghamton, NY
- NPI 1982910774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1283212800000",
"number": "1386974293",
"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": "100 RANO BLVD",
"city": "VESTAL",
"state": "NY",
"postal_code": "138502798",
"telephone_number": "607-798-8878",
"fax_number": "607-798-8876"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEIS MARKETS INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-29",
"last_updated": "2010-08-31",
"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": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "029953",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "3363912",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "WEIS PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Vestal, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; 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.