Healthcare Provider Details

I. General information

NPI: 1528548427
Provider Name (Legal Business Name): WEIS MARKETS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2018
Last Update Date: 10/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 HUNTER HWY
TUNKHANNOCK PA
18657-8018
US

IV. Provider business mailing address

PO BOX 471
SUNBURY PA
17801-0471
US

V. Phone/Fax

Practice location:
  • Phone: 570-836-0110
  • Fax: 570-836-0119
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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier6006969
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerNCPDP
# 2
Identifier1007742100303
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer

VIII. Authorized Official

Name: MR. RICHARD W. SEIPP
Title or Position: VICE PRESIDENT, PHARMACY
Credential: RPH
Phone: 570-863-2812