MEDICARE: WEGMANS FOOD MARKETS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	3336C0003X	Community/Retail Pharmacy
3	333600000X	Pharmacy	0201004703	VA

General Provider Information

NPI Number	:	1801241195
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEGMANS FOOD MARKETS, INC.

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

Provider Business Practice Location Address
First Line	:	12501 STONE VILLAGE WAY
Second Line	:
City	:	MIDLOTHIAN
State	:	VA
Zip	:	23113-2715
Country	:	US
Telephone Number	:	804-419-9945
Fax Number	:	804-419-9998

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

Provider Enumeration Date	:	04/25/2016
Last Update Date	:	01/13/2024

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