Active NPI
Weis Markets Inc
Doing business as Weis Pharmacy
- Community/Retail Pharmacy
- Kutztown, PA
National Provider Identifier
1437333556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- WEIS MARKETS INC
- Doing business as
- Weis Pharmacy
- Practice address
- 15260 Kutztown Rd
Suite 2
Kutztown, PA 19530-1342 - Phone
- (610) 683-5827
- Fax
- (610) 683-6195
- NPI assigned
- Dec 26, 2007
- Last updated
- Apr 4, 2008
- 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
- Mr. Jeffery Maltese, RPH
- Title
- Vice President, Pharmacy
- Phone
- (570) 863-2809
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PA | Primary |
Addresses
Primary practice location
15260 Kutztown Rd
Suite 2
Kutztown, PA 19530-1342
Mailing address
1000 S 2ND St
PO Box 471
Sunbury, PA 17801-3318
Phone (570) 286-3623
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3989829 | Other | NCPDP | |
| 1007742100284 | Medicaid | PA |
Other names 1
- WEIS PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080915000562 | PA | Part B Supplier - Mass Immunization (Roster Biller Only) | 8527134642 | This NPI is an additional NPI on the enrollment |
| O20100930008093 | PA | DME Supplier - Pharmacy | 8527134642 | Practice locations: Kutztown, PA |
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 #78 | 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 Pharm 6
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
Locations
15260 Kutztown Rd
Ste 2
Kutztown, PA 19530
Phone (610) 683-5827
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Kutztown, PA
- NPI 1821568924
-
- Pharmacist
- Kutztown, PA
- NPI 1013685403
-
- Pharmacist
- Kutztown, PA
- NPI 1407324262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207267200000",
"number": "1437333556",
"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": "15260 KUTZTOWN RD",
"address_2": "SUITE 2",
"city": "KUTZTOWN",
"state": "PA",
"postal_code": "195301342",
"telephone_number": "610-683-5827",
"fax_number": "610-683-6195"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEIS MARKETS INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-26",
"last_updated": "2008-04-04",
"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_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "PA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "3989829",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007742100284",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "WEIS PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Kutztown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.