Active NPI
Weis Markets Inc
Doing business as Weis Pharmacy
- Community/Retail Pharmacy
- Pen Argyl, PA
National Provider Identifier
1487805768
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
- 1309 Blue Valley Dr
Pen Argyl, PA 18072-1825 - Phone
- (610) 863-3314
- Fax
- (610) 863-3316
- NPI assigned
- Oct 6, 2008
- Last updated
- Jun 17, 2011
- 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
- VP Phcy
- Phone
- (570) 863-2809
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | NU | Primary |
Addresses
Primary practice location
1309 Blue Valley Dr
Pen Argyl, PA 18072-1825
Mailing address
PO Box 471
Sunbury, PA 17801-0471
Phone (570) 286-3623
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007742100285 | Medicaid | PA | |
| 3991177 | Other | NCPDP |
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 |
| O20100930032510 | PA | DME Supplier - Pharmacy | 8527134642 | Practice locations: Pen Argyl, PA |
National Provider Directory
National Provider Directory- Tax ID family
- Weis Pharm 76
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
1309 Blue Valley Dr
Pen Argyl, PA 18072
Phone (610) 863-3314
Practitioners & affiliated clinicians
Practitioners 1
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
- Pen Argyl, PA
- NPI 1356819775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223251200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1308268800000",
"number": "1487805768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 471",
"city": "SUNBURY",
"state": "PA",
"postal_code": "178010471",
"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": "1309 BLUE VALLEY DR",
"city": "PEN ARGYL",
"state": "PA",
"postal_code": "180721825",
"telephone_number": "610-863-3314",
"fax_number": "610-863-3316"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEIS MARKETS INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-06",
"last_updated": "2011-06-17",
"status": "A",
"authorized_official_last_name": "MALTESE",
"authorized_official_first_name": "JEFFERY",
"authorized_official_title_or_position": "VP PHCY",
"authorized_official_telephone_number": "570-863-2809",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007742100285",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "3991177",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "WEIS PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Pen Argyl, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; 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.