NPIMap

Organization Active NPI

Weis Markets Inc

Doing business as Weis Pharmacy

  • Community/Retail Pharmacy
  • Hagerstown, MD
National Provider Identifier
1629248794
Registry record updated Aug 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P04745 Issued in MD
Legal business name
WEIS MARKETS INC
Doing business as
Weis Pharmacy
Practice address
12817 Shank Farm LN
Hagerstown, MD 21742-2781
Phone
(301) 665-9568
Fax
(301) 665-9798
NPI assigned
Mar 5, 2008
Last updated
Aug 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2008

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)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X P04745 MD Primary

Addresses

Primary practice location

12817 Shank Farm LN
Hagerstown, MD 21742-2781

Mailing address

PO Box 471
Sunbury, PA 17801-0471
Phone (570) 286-3623

Other identifiers 2

IdentifierTypeStateIssuer
414938600MedicaidMD
2133938OtherOTHER ID NUMBER

Other names 1

  • WEIS PHARMACY 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…
O20100930095306 MD DME Supplier - PharmacyDME Supplier - Grocery Store 8527134642 Practice locations: Hagerstown, 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 Pharmacy #16712817 Shank Farm Way, Hagerstown, MD 21742-2781(301) 665-9568 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 Pharm 76128 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 17

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

View all 17

Locations

12817 Shank Farm Way
Hagerstown, MD 21742
Phone (301) 665-9485

NPI Registry JSON

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1629248794",
    "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": "12817 SHANK FARM LN",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422781",
            "telephone_number": "301-665-9568",
            "fax_number": "301-665-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEIS MARKETS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-08-19",
        "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": "MD",
            "license": "P04745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "414938600",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2133938",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEIS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.

Verify at the official NPI Registry.