Healthcare Provider Details

I. General information

NPI: 1679446520
Provider Name (Legal Business Name): WEIS MARKETS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2025
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

935 MCKIM ST
MIDDLETOWN DE
19709-3367
US

IV. Provider business mailing address

1000 S 2ND ST
SUNBURY PA
17801-3318
US

V. Phone/Fax

Practice location:
  • Phone: 302-534-1212
  • Fax: 302-534-1241
Mailing address:
  • Phone: 570-286-3623
  • Fax: 570-988-3774

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. NICHOLAS J. CICCO
Title or Position: VICE PRESIDENT, PHARMACY
Credential: PHARM D
Phone: 570-286-3201