Organization Active NPI

Weis Markets Inc

  • Community/Retail Pharmacy
  • Binghamton, NY
National Provider Identifier
1982910774
Registry record updated Mar 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
WEIS MARKETS INC
Practice address
160 Robinson St
Binghamton, NY 13904-1547
Phone
(607) 772-6357
Fax
(607) 772-6392
NPI assigned
Aug 31, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2011

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NY Primary

Addresses

Primary practice location

160 Robinson St
Binghamton, NY 13904-1547

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
03292344MedicaidNY
5801229OtherNYNCPDP

Other names 1

  • WEIS PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20101112000027 NY DME Supplier - Pharmacy 8527134642 Practice locations: Binghamton, NY
O20101220000077 NY Part B Supplier - Mass Immunization (Roster Biller Only) 8527134642 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Binghamton, NY; Elmira, NY; Vestal, NY

Other NPIs on the same Medicare enrollment 2

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
Weis Pharmacy #219160 Robinson St, Binghamton, NY 13904-1842(607) 772-6357 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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301011200000",
    "number": "1982910774",
    "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": "160 ROBINSON ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139041547",
            "telephone_number": "607-772-6357",
            "fax_number": "607-772-6392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEIS MARKETS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-31",
        "last_updated": "2011-03-25",
        "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": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03292344",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "5801229",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEIS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Binghamton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2011; 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.