Active NPI
Weis Markets Inc
Doing business as Weis Pharmacy 135
- Community/Retail Pharmacy
- Dingmans Ferry, PA
National Provider Identifier
1780290197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- WEIS MARKETS INC
- Doing business as
- Weis Pharmacy 135
- Practice address
- 112 Atlantic Ave
Dingmans Ferry, PA 18328-9801 - Phone
- (570) 832-0294
- Fax
- (570) 828-7126
- NPI assigned
- Sep 21, 2020
- Last updated
- Sep 16, 2026
- 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
- Nicholas J. Cicco, RPH
- Title
- Vice President, Pharmacy
- Phone
- (570) 286-3201
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | NU | Primary |
Addresses
Primary practice location
112 Atlantic Ave
Dingmans Ferry, PA 18328-9801
Mailing address
PO Box 471
Sunbury, PA 17801-0471
Phone (570) 286-3623
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6009890 | Other | PA | NCPDP |
| 1007742100305 | Medicaid | PA |
Other names 1
- WEIS PHARMACY 135
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 |
| O20210204002800 | PA | DME Supplier - Pharmacy | 8527134642 | Practice locations: Dingmans Ferry, 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 Pharmacy #135 | 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 Pharm 76
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
112 Atlantic Ave
Dingmans Ferry, PA 18328
Phone (570) 832-0294
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Pharmacy Technician
- Dingmans Ferry, PA
- NPI 1619607132
-
- Pharmacy Technician
- Dingmans Ferry, PA
- NPI 1942055546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600646400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789516800000",
"number": "1780290197",
"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": "112 ATLANTIC AVE",
"city": "DINGMANS FERRY",
"state": "PA",
"postal_code": "183289801",
"telephone_number": "570-832-0294",
"fax_number": "570-828-7126"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEIS MARKETS INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-21",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"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": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "6009890",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007742100305",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "WEIS PHARMACY 135",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Dingmans Ferry, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; 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.