Sunrise Shoprite Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00410200 Issued in NJ

Legal business name

SUNRISE SHOPRITE INC

Doing business as

Shoprite Pharmacy

Practice address

540 Passaic Ave
West Caldwell, NJ 07006-7449

Phone

(973) 575-0030

Fax

(973) 575-0342

NPI assigned

Aug 20, 2006

Last updated

Feb 22, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Natalie Bonante

Title

Accountant

Phone

(973) 575-1770

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• SHOPRITE PHARMACY Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott Thomas Maran, SCOTT MARAN

  • Pharmacist
  • West Caldwell, NJ
  • NPI 1992052286
  NPD (past)
• Johanna Ruth, PHARM.D.

  • Pharmacist
  • West Caldwell, NJ
  • NPI 1265788772
  NPD (past)
• Narith Tungmun

  • Pharmacist
  • West Caldwell, NJ
  • NPI 1871189258
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550793600000",
    "number": "1033224803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 PASSAIC AVE",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067449",
            "telephone_number": "973-575-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 PASSAIC AVE",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067449",
            "telephone_number": "973-575-0030",
            "fax_number": "973-575-0342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE SHOPRITE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2019-02-22",
        "status": "A",
        "authorized_official_last_name": "BONANTE",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "973-575-1770"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00410200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4321006",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2057386",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHOPRITE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SHOPRITE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jelena Strazivuk, LCSW
• Stutterand
• Summit Acupuncture Center
• Summit Therapy Center
• Ashany Sundaram, M.D.
• Fay Susskind, PSY.D., M.S., LCSW
• Evin Taskoy
• Francis Teresa, D.C.
• Madilyn Terranova, PA-C
• The Arc of Essex County, Inc.

• Community/Retail Pharmacy in West Caldwell, NJ
• Providers in West Caldwell, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; 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.