Provider Demographics
NPI:1063610426
Name:WEGMANS FOOD MARKETS, INC.
Entity type:Organization
Organization Name:WEGMANS FOOD MARKETS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HEINTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-429-3902
Mailing Address - Street 1:1500 BROOKS AVE
Mailing Address - Street 2:ATTENTION PHARMACY OFFICE
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14624-3512
Mailing Address - Country:US
Mailing Address - Phone:585-279-4355
Mailing Address - Fax:585-239-2015
Practice Address - Street 1:1500 BROOKS AVE
Practice Address - Street 2:ATTN: PHARMACY OFFICE
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14624-3589
Practice Address - Country:US
Practice Address - Phone:585-239-2009
Practice Address - Fax:585-239-2044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-06
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3336C0003X
332B00000X, 333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY=========OtherTAX IDENTIFICATION NUMBER