Active NPI
Weis Markets, Inc.
Doing business as Weis Pharmacy #200
- Community/Retail Pharmacy
- East Berlin, PA
National Provider Identifier
1700335726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PP415789L
- Legal business name
- WEIS MARKETS, INC.
- Doing business as
- Weis Pharmacy #200
- Practice address
- 30 Primrose LN
East Berlin, PA 17316-8505 - Phone
- (717) 259-6598
- Fax
- (717) 259-5439
- NPI assigned
- Oct 3, 2016
- 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
- Richard W. Seipp, RPH
- Title
- Vice President, Pharmacy
- Phone
- (570) 863-2812
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PP415789L | PA | Primary |
Addresses
Primary practice location
30 Primrose LN
East Berlin, PA 17316-8505
Mailing address
1000 S 2ND St
P.O. Box 471
Sunbury, PA 17801-3318
Phone (570) 286-3623
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007742100301 | Medicaid | PA | |
| 6004597 | Other | PA | NCPDP |
Other names 1
- WEIS PHARMACY #200
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 |
| O20170322000800 | PA | DME Supplier - Pharmacy | 8527134642 | Practice locations: East Berlin, PA |
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
- Weiss Pharm 79
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.
-
- Community/Retail Pharmacy
- Sunbury, PA
- NPI 1700142536
Locations
30 Primrose Ln
East Berlin, PA 17316
Phone (717) 259-6598
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
- Sunbury, PA
- NPI 1295127843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1490659200000",
"number": "1700335726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 S 2ND ST",
"address_2": "P.O. BOX 471",
"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": "30 PRIMROSE LN",
"city": "EAST BERLIN",
"state": "PA",
"postal_code": "173168505",
"telephone_number": "717-259-6598",
"fax_number": "717-259-5439"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEIS MARKETS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-03",
"last_updated": "2017-03-28",
"status": "A",
"authorized_official_last_name": "SEIPP",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "VICE PRESIDENT, PHARMACY",
"authorized_official_telephone_number": "570-863-2812",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "PA",
"license": "PP415789L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007742100301",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "6004597",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "WEIS PHARMACY #200",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in East Berlin, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.