NPIMap

Organization Active NPI

Wegmans Food Markets, Inc.

Doing business as Wegmans Pharmacy #016

  • Pharmacy
  • Fairfax, VA
National Provider Identifier
1780667980
Registry record updated Jan 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
0201004010 Issued in VA
Legal business name
WEGMANS FOOD MARKETS, INC.
Doing business as
Wegmans Pharmacy #016
Practice address
11620 Monument Dr
Attn: Pharmacy Manager
Fairfax, VA 22030-8706
Phone
(703) 653-1645
Fax
(703) 653-1698
NPI assigned
Nov 22, 2005
Last updated
Jan 13, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
WEGMANS FOOD MARKETS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Erin Heintz
Title
Secretary
Phone
(585) 429-3902

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X 0201004010 VA Primary
Community/Retail Pharmacy 3336C0003X NU

Addresses

Primary practice location

11620 Monument Dr
Attn: Pharmacy Manager
Fairfax, VA 22030-8706

Mailing address

1500 Brooks Ave
Attn: Pharmacy Office
Rochester, NY 14624
Phone (585) 239-2009

Other names 1

  • Wegmans Pharmacy #016 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930085853 VA DME Supplier - PharmacyDME Supplier - Grocery Store 6002842754 Practice locations: Fairfax, VA
O20111026000344 DC Part B Supplier - Mass Immunization (Roster Biller Only) 6002842754 4 other NPIs on this enrollment
Practice locations: Alexandria, VA; Chantilly, VA; Fairfax, VA; Germantown, MD; Lanham, MD

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
Wegmans Food Markets, Inc.11620 Monument Drive, Fairfax, VA 22030(703) 653-1645 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Orthoses: Off-The-Shelf|Enteral Nutrients|Surgical Dressings Accepts assignmentParticipating since Oct 24, 2010

National Provider Directory

National Provider Directory
Tax ID family
Wegmans Food Markets100 organizations share this tax ID, including this one
Part of
Wegmans Food Markets

Organizations with this tax ID in the same state 10

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

Locations

11620 Monument Dr
Fairfax, VA 22030
Phone (703) 653-1645

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705104000000",
    "number": "1780667980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 BROOKS AVE",
            "address_2": "ATTN: PHARMACY OFFICE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14624",
            "telephone_number": "585-239-2009",
            "fax_number": "585-239-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11620 MONUMENT DR",
            "address_2": "ATTN: PHARMACY MANAGER",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220308706",
            "telephone_number": "703-653-1645",
            "fax_number": "703-653-1698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEGMANS FOOD MARKETS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEGMANS FOOD MARKETS, INC.",
        "enumeration_date": "2005-11-22",
        "last_updated": "2024-01-13",
        "certification_date": "2024-01-13",
        "status": "A",
        "authorized_official_last_name": "HEINTZ",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "585-429-3902"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "VA",
            "license": "0201004010",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wegmans Pharmacy #016",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wegmans Pharmacy #016",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2024; 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.