1548239452 NPI number — WEGMANS FOOD MARKETS, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548239452 NPI number — WEGMANS FOOD MARKETS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WEGMANS FOOD MARKETS, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
WEGMANS PHARMACY #079
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1548239452
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/12/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1500 BROOKS AVE
Provider Second Line Business Mailing Address:
ATTN: PHARMACY OFFICE
Provider Business Mailing Address City Name:
ROCHESTER
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
14624
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
585-239-2009
Provider Business Mailing Address Fax Number:
585-239-2044

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3900 W TILGHMAN ST
Provider Second Line Business Practice Location Address:
ATTN: PHARMACY MANAGER
Provider Business Practice Location Address City Name:
ALLENTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18104-4434
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-336-7940
Provider Business Practice Location Address Fax Number:
610-336-7998
Provider Enumeration Date:
03/14/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
HEINTZ
Authorized Official First Name:
ERIN
Authorized Official Middle Name:
Authorized Official Title or Position:
SECRETARY
Authorized Official Telephone Number:
585-429-3902

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 333600000X , with the licence number: PP415418L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 3336C0003X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)