NPIMap

Organization Active NPI

Weis Markets Inc

Doing business as Weis Pharmacy #093

  • Community/Retail Pharmacy
  • Waldorf, MD
National Provider Identifier
1609739366
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
WEIS MARKETS INC
Doing business as
Weis Pharmacy #093
Practice address
4535 Fairway Village PL
Waldorf, MD 20602-5104
Phone
(227) 722-4156
Fax
(227) 722-4157
NPI assigned
Dec 8, 2025
Last updated
Dec 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nicholas J. Cicco, PHARM D
Title
Vice President, Pharmacy
Phone
(570) 286-3201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

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 1

  • WEIS PHARMACY #093 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 - PharmacyDME Supplier - Grocery Store 8527134642 Practice locations: Waldorf, MD

Other NPIs on the same Medicare enrollment 28

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

View all 28

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Weis Markets Inc4535 Fairway Village PL, Waldorf, MD 20602-5104(227) 722-4156 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 assignmentParticipating since Sep 1, 2008

National Provider Directory

National Provider Directory
Tax ID family
Weis Pharmacy 26128 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 21

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 21

Locations (25 of 195)

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
#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
#121
Charlotte Hall, MD 20622
Phone (301) 905-0964

26075 Ridge Rd
Damascus, MD 20872
Phone (301) 253-9418

7200 Holabird Ave
Dundalk, MD 21222
Phone (410) 288-1823

7200 Holabird Ave
#84
Dundalk, MD 21222
Phone (410) 288-1823

7848 Wise Ave
#85
Dundalk, MD 21222
Phone (410) 282-1725

129 Orville Rd
#86
Essex, MD 21221
Phone (410) 238-1064

165 Orville Rd
#86
Essex, MD 21221
Phone (410) 238-1064

199 Thomas Johnson Dr
#110
Frederick, MD 21702
Phone (301) 662-3830

2 Old Camp Rd
Frederick, MD 21702
Phone (301) 473-4201

2 Old Camp Rd
#100
Frederick, MD 21702
Phone (301) 473-4201

448 Prospect Blvd
#60
Frederick, MD 21701
Phone (301) 663-9111

6093 Spring Ridge Pkwy
#149
Frederick, MD 21701
Phone (301) 631-8160

12817 Shank Farm Way
#167
Hagerstown, MD 21742
Phone (301) 665-9568

31 Eastern Blvd N
Hagerstown, MD 21740
Phone (240) 420-0472

31 Eastern Blvd N
#81
Hagerstown, MD 21740
Phone (240) 420-0553

2205 Hanover Pike
#128
Hampstead, MD 21074
Phone (410) 374-4019

Practitioners & affiliated clinicians

Practitioners 219

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.

View all 219

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1765152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765152000000",
    "number": "1609739366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S 2ND ST",
            "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": "4535 FAIRWAY VILLAGE PL",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206025104",
            "telephone_number": "227-722-4156",
            "fax_number": "227-722-4157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEIS MARKETS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-08",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A",
        "authorized_official_last_name": "CICCO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "VICE PRESIDENT, PHARMACY",
        "authorized_official_telephone_number": "570-286-3201",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEIS PHARMACY #093",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; 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.

Verify at the official NPI Registry.