Active NPI
Wegmans Food Markets, Inc
- Pharmacy
- Syracuse, NY
National Provider Identifier
1790769883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 019729
- Legal business name
- WEGMANS FOOD MARKETS, INC
- Practice address
- 700 1St North St
Attn: Pharmacy Manager
Syracuse, NY 13208-2180 - Phone
- (315) 476-9954
- Fax
- (315) 471-0006
- NPI assigned
- Dec 1, 2005
- 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
- Julie Lenhard, RPH
- Title
- Director of Managed Care
- Phone
- (585) 239-2001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 019729 | NY | Primary |
Addresses
Primary practice location
700 1St North St
Attn: Pharmacy Manager
Syracuse, NY 13208-2180
Mailing address
1500 Brooks Ave
Attn: Pharmacy Office
Rochester, NY 14624-3512
Phone (585) 237-9435
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00571797 | Medicaid | NY |
Other names 1
- Wegmans Pharmacy #029
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100303000381 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 6002842754 |
47 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Liverpool, NY; Newark, NY; Niagara Falls, NY; Penfield, NY; Rochester, NY; Syracuse, NY; Webster, NY; West Seneca, NY… |
Other NPIs on the same Medicare enrollment 47
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
700 1st North St
Syracuse, NY 13208
Phone (315) 470-0988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1313625600000",
"number": "1790769883",
"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": "146243512",
"telephone_number": "585-237-9435",
"fax_number": "585-239-2015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 1ST NORTH ST",
"address_2": "ATTN: PHARMACY MANAGER",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132082180",
"telephone_number": "315-476-9954",
"fax_number": "315-471-0006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEGMANS FOOD MARKETS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-01",
"last_updated": "2011-08-18",
"status": "A",
"authorized_official_last_name": "LENHARD",
"authorized_official_first_name": "JULIE",
"authorized_official_title_or_position": "DIRECTOR OF MANAGED CARE",
"authorized_official_telephone_number": "585-239-2001",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NY",
"license": "019729",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00571797",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Wegmans Pharmacy #029",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.