Organization Active NPI

Gateway Shoprite Associates LLC

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1023429693
Registry record updated Nov 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
032983 Issued in NY
Legal business name
GATEWAY SHOPRITE ASSOCIATES LLC
Practice address
590 Gateway Dr
Brooklyn, NY 11239-2820
Phone
(718) 647-1546
Fax
(718) 348-6180
NPI assigned
May 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Melissa Figueroa Rivera
Title
Third Party Administrator
Phone
(732) 521-8439

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 032983 NY Primary

Addresses

Primary practice location

590 Gateway Dr
Brooklyn, NY 11239-2820

Mailing address

PO Box 15969
Newark, NJ 07192-0001

Other identifiers 1

IdentifierTypeStateIssuer
2146300OtherPK

Other names 1

  • ShopRite Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

590 Gateway Dr
Brooklyn, NY 11239
Phone (718) 647-1546

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1023429693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15969",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071920001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 GATEWAY DR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112392820",
            "telephone_number": "718-647-1546",
            "fax_number": "718-348-6180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY SHOPRITE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-16",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "FIGUEROA RIVERA",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "THIRD PARTY ADMINISTRATOR",
        "authorized_official_telephone_number": "732-521-8439"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "032983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2146300",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ShopRite Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.