Active NPI
Weis Markets Inc
- Community/Retail Pharmacy
- Middletown, DE
National Provider Identifier
1679446520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- WEIS MARKETS INC
- Practice address
- 935 McKim St
Middletown, DE 19709-3367 - Phone
- (302) 534-1212
- Fax
- (302) 534-1241
- NPI assigned
- Sep 26, 2025
- 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. Nicholas J. Cicco, PHARM D
- Title
- Vice President, Pharmacy
- Phone
- (570) 286-3201
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
935 McKim St
Middletown, DE 19709-3367
Mailing address
1000 S 2ND St
Sunbury, PA 17801-3318
Phone (570) 286-3623
Other names 1
- WEIS PHARMACY #109
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170703001689 | DE | Part B Supplier - Mass Immunization (Roster Biller Only) | 8527134642 |
1 other NPI on this enrollment Practice locations: Middletown, DE |
| O20251212003276 | DE | DME Supplier - Pharmacy | 8527134642 | Practice locations: Middletown, DE |
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 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 |
National Provider Directory
National Provider Directory- Tax ID family
- Weis Pharmacy 26
Organizations with this tax ID in the same state 1
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Community/Retail Pharmacy
- Millsboro, DE
- NPI 1669314118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758844800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764806400000",
"number": "1679446520",
"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": "935 MCKIM ST",
"city": "MIDDLETOWN",
"state": "DE",
"postal_code": "197093367",
"telephone_number": "302-534-1212",
"fax_number": "302-534-1241"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEIS MARKETS INC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-26",
"last_updated": "2025-12-04",
"certification_date": "2025-12-04",
"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_name_prefix": "Mr.",
"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 #109",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Middletown, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.