NPIMap

Organization Active NPI

Weis Markets Inc

  • Community/Retail Pharmacy
  • Lebanon, PA
National Provider Identifier
1912930249
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
WEIS MARKETS INC
Practice address
1651 E Cumberland St
Lebanon, PA 17042-8324
Phone
(717) 270-1919
Fax
(717) 270-1074
NPI assigned
Jul 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Authorized official

Name
Jeffery Maltese, RPH
Title
Vice President Pharmacy
Phone
(570) 863-2809

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PP415161L PA
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1651 E Cumberland St
Lebanon, PA 17042-8324

Mailing address

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

Other identifiers 3

IdentifierTypeStateIssuer
1007742100210MedicaidPA
1583551MedicaidPA
3971581OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • WEIS PHARMACY 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
O20100930025928 PA DME Supplier - PharmacyDME Supplier - Grocery Store 8527134642 Practice locations: Lebanon, 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 Pharmacy 1481651 E Cumberland St, Lebanon, PA 17042-8324(717) 270-1919 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 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1912930249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S 2ND ST",
            "address_2": "PO 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": "1651 E CUMBERLAND ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170428324",
            "telephone_number": "717-270-1919",
            "fax_number": "717-270-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEIS MARKETS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "MALTESE",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_title_or_position": "VICE PRESIDENT PHARMACY",
        "authorized_official_telephone_number": "570-863-2809",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP415161L",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007742100210",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1583551",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3971581",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEIS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lebanon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; 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.