NPIMap

Organization Active NPI

Wegmans Food Markets, Inc

Doing business as Wegmans Pharmacy #029

  • Pharmacy
  • Syracuse, NY
National Provider Identifier
1790769883
Registry record updated Aug 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
019729 Issued in NY
Legal business name
WEGMANS FOOD MARKETS, INC
Doing business as
Wegmans Pharmacy #029
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
Last updated
Aug 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2011

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)CodeLicenseStatePrimary
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 names 1

  • Wegmans Pharmacy #029 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

View all 47

National Provider Directory

National Provider Directory

Locations

1500 Brooks Ave
Rochester, NY 14624
Phone (315) 331-7150

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": [],
    "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.

Verify at the official NPI Registry.