Healthcare Provider Details
I. General information
NPI: 1780653485
Provider Name (Legal Business Name): WEGMANS FOOD MARKETS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/15/2006
Last Update Date: 03/12/2025
Certification Date: 02/28/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3135 NIAGARA FALLS BLVD
AMHERST NY
14228-1656
US
IV. Provider business mailing address
1500 BROOKS AVE ATTN: PHARMACY OFFICE
ROCHESTER NY
14624
US
V. Phone/Fax
- Phone: 716-691-0810
- Fax: 716-691-0823
- Phone: 585-239-2009
- Fax: 585-239-2044
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | 022057 |
| License Number State | NY |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
ERIN
W.S.
HEINTZ
Title or Position: SECRETARY
Credential:
Phone: 585-429-3902