NPIMap

Organization Active NPI

Weis Markets, Inc.

  • Community/Retail Pharmacy
  • Enola, PA
National Provider Identifier
1720522246
Registry record updated Mar 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP482705 Issued in PA
Legal business name
WEIS MARKETS, INC.
Practice address
4525 Valley Road
Enola, PA 17025-1421
Phone
(717) 732-4106
Fax
(717) 732-4716
NPI assigned
Dec 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PP482705 PA Primary

Addresses

Primary practice location

4525 Valley Road
Enola, PA 17025-1421

Mailing address

1000 S 2ND St
P.O. Box 471
Sunbury, PA 17801-3318
Phone (570) 286-3623

Other identifiers 2

IdentifierTypeStateIssuer
6004864OtherPANCPDP
1007742100302MedicaidPA

Other names 1

  • WEIS PHARMACY #225 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080915000562 PA Part B Supplier - Mass Immunization (Roster Biller Only) 8527134642 This NPI is an additional NPI on the enrollment
O20170324000544 PA DME Supplier - Pharmacy 8527134642 Practice locations: Enola, PA

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 Inc4525 Valley Rd, Enola, PA 17025-1400(717) 732-4106 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 24

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

View all 24

Locations

4525 Valley Rd
Enola, PA 17025
Phone (717) 728-2825

NPI Registry JSON

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490918400000",
    "number": "1720522246",
    "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": "4525 VALLEY ROAD",
            "city": "ENOLA",
            "state": "PA",
            "postal_code": "170251421",
            "telephone_number": "717-732-4106",
            "fax_number": "717-732-4716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEIS MARKETS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-19",
        "last_updated": "2017-03-31",
        "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": "PP482705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "6004864",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007742100302",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEIS PHARMACY #225",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Enola, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.

Verify at the official NPI Registry.