Weis Markets Inc
Organization Active NPI Community/Retail Pharmacy · Waldorf, MD
NPI 1609739366 · NPPES record last updated Dec 8, 2025
Key facts
- NPI
- 1609739366
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- WEIS MARKETS INC
- Practice address
- 4535 Fairway Village PL
Waldorf, MD 20602-5104 - Phone
- (227) 722-4156
- Fax
- (227) 722-4157
- NPI assigned
- Dec 8, 2025
- Organization subpart
- No
Authorized official
- Name
- Nicholas J. Cicco, PHARM D
- Title
- Vice President, Pharmacy
- Phone
- (570) 286-3201
Other NPIs on the same Medicare enrollment 28
Corporate family (same tax ID) 21
Practitioners 208
-
Mark Barbino, PHARMD
-
Reyna Kae Bocanegra, PHARMD
-
Anne Fulton Bohner, PHARMD
-
Roudabeh Faghri, PHARMACIST
-
Melissa Glover, PHARMD
-
Cradesha Christian Perry, PHARMD
-
Elaine Pranski, PHARMD, PHD
-
Jessica Strebeck, PHARMD
-
George Ndi Tebeck, RPH
-
Victoria Todd, CPHT
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Weis Markets Inc |
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 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081002000065 | MD | Part B Supplier - Mass Immunization (Roster Biller Only) | 8527134642 |
33 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Havre de Grace, MD; Hagerstown, MD; Ijamsville, MD; Laurel, MD; Lusby, MD; Mount Airy, MD; Nottingham, MD; Pasadena, MD… |
| O20260311001288 | MD | DME Supplier - Pharmacy |
8527134642 | Practice locations: Waldorf, MD |
National Provider Directory
- Tax ID family
- Weis Pharmacy 26
Locations (25 of 198)
17232 N Village Main Blvd
#271
Lewes, DE 19958
Phone (302) 645-7088
17232 N Village Main Blvd
Lewes, DE 19958
Phone (302) 645-7088
935 McKim St
Middletown, DE 19709
Phone (302) 534-1212
3482 Emmorton Rd
Abingdon, MD 21009
Phone (410) 569-1019
3482 Emmorton Rd
#114
Abingdon, MD 21009
Phone (410) 569-1020
4126 E Joppa Rd
#123
Baltimore, MD 21236
Phone (410) 529-3045
550 W Macphail Rd
#172
Bel Air, MD 21014
Phone (410) 638-5804
700 Chase Six Blvd
#178
Boonsboro, MD 21713
Phone (301) 432-3953
1201 Dutchmans Creek Dr
#239
Brunswick, MD 21716
Phone (301) 834-4805
20995 Point Lookout Rd
Callaway, MD 20620
Phone (301) 994-1099
20995 Point Lookout Rd
#282
Callaway, MD 20620
Phone (301) 994-1099
30015 Three Notch Rd
Charlotte Hall, MD 20622
Phone (301) 905-0964
30015 Three Notch Rd
#121
Charlotte Hall, MD 20622
Phone (301) 905-0964
26075 Ridge Rd
Damascus, MD 20872
Phone (301) 253-9418
7848 Wise Ave
#85
Dundalk, MD 21222
Phone (410) 282-1725
7200 Holabird Ave
#84
Dundalk, MD 21222
Phone (410) 288-1823
7848 Wise Ave
Dundalk, MD 21222
Phone (410) 282-0218
165 Orville Rd
#86
Essex, MD 21221
Phone (410) 238-1064
129 Orville Rd
#86
Essex, MD 21221
Phone (410) 238-1064
448 Prospect Blvd
#60
Frederick, MD 21701
Phone (301) 663-9111
448 Prospect Blvd
Frederick, MD 21701
Phone (301) 663-9075
199 Thomas Johnson Dr
#110
Frederick, MD 21702
Phone (301) 662-3830
2 Old Camp Rd
#100
Frederick, MD 21702
Phone (301) 473-4201
6093 Spring Ridge Pkwy
#149
Frederick, MD 21701
Phone (301) 631-8160
12817 Shank Farm Way
#167
Hagerstown, MD 21742
Phone (301) 665-9568
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
4535 Fairway Village PL
Waldorf, MD 20602-5104
Mailing address
1000 S 2ND St
Sunbury, PA 17801-3318
Phone (570) 286-3623
Other names
- WEIS PHARMACY #093
Other providers in Waldorf, MD
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- Jessica L Webb
- Brittany Webster
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- Aaron I Weinstein
- Crystal Welch
- Wellness Behavioral Health Services LLC
- Alaya Tene Wells
- Bruce Allan Wenzel
- Cindy Hope West
All providers in Waldorf, MD · Community/Retail Pharmacy in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.