1548239783 NPI number — WEGMANS FOOD MARKETS, INC.

Table of content: (NPI 1548239783)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548239783 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 #087
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:
1548239783
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:
4960 TRANSIT RD
Provider Second Line Business Practice Location Address:
ATTN: PHARMACY MANAGER
Provider Business Practice Location Address City Name:
DEPEW
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14043-4616
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
716-685-7310
Provider Business Practice Location Address Fax Number:
716-685-7325
Provider Enumeration Date:
03/17/2006

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: 022359 , registered in the state of NY ; 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)