NPIMap

Organization Active NPI

Wegmans Food Markets, Inc.

  • Pharmacy
  • Wilkes Barre, PA
National Provider Identifier
1912976820
Registry record updated Jan 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PP414936L Issued in PA
Legal business name
WEGMANS FOOD MARKETS, INC.
Doing business as
Wegmans Pharmacy #077
Practice address
220 Highland Park Blvd
Attn: Pharmacy Manager
Wilkes Barre, PA 18702-6768
Phone
(570) 825-7890
Fax
(570) 825-9410
NPI assigned
Mar 14, 2006
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
Pharmacy 333600000X PP414936L PA Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

220 Highland Park Blvd
Attn: Pharmacy Manager
Wilkes Barre, PA 18702-6768

Mailing address

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

Other names 1

  • Wegmans Pharmacy #077 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930002232 PA DME Supplier - PharmacyDME Supplier - Grocery Store 6002842754 Practice locations: Wilkes-Barre, PA
O20110114000676 PA Part B Supplier - Mass Immunization (Roster Biller Only) 6002842754 17 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: State College, PA; Williamsport, PA; Wilkes Barre, PA; Warrington, PA; Scranton, PA; North Wales, PA; Mechanicsburg, PA; Malvern, PA…

Other NPIs on the same Medicare enrollment 17

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

View all 17

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.220 Highland Park Blvd, Wilkes Barre, PA 18702-6768(570) 825-7890 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 Pharmacy 058100 organizations share this tax ID, including this one
Part of
Wegmans Pharmacy 058

Organizations with this tax ID in the same state 12

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

Locations

220 Highland Park Blvd
Wilkes Barre, PA 18702
Phone (570) 825-7890

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705104000000",
    "number": "1912976820",
    "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": "220 HIGHLAND PARK BLVD",
            "address_2": "ATTN: PHARMACY MANAGER",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187026768",
            "telephone_number": "570-825-7890",
            "fax_number": "570-825-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEGMANS FOOD MARKETS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEGMANS FOOD MARKETS, INC.",
        "enumeration_date": "2006-03-14",
        "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": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP414936L",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wegmans Pharmacy #077",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wegmans Pharmacy #077",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilkes Barre, PA

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.