NPIMap

Organization Active NPI

Saker Shoprites Inc

  • Community/Retail Pharmacy
  • Bayville, NJ
National Provider Identifier
1053456152
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00636100 Issued in NJ
Legal business name
SAKER SHOPRITES INC
Practice address
427-429 Route 9 North
Bayville, NJ 08721
Phone
(732) 606-0990
Fax
(732) 606-9479
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Authorized official

Name
Paul E Feller
Title
Chief Privacy and Security Officer
Phone
(732) 294-2278

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 28RS00636100 NJ Primary

Addresses

Primary practice location

427-429 Route 9 North
Bayville, NJ 08721

Mailing address

10 Centerville Rd
Holmdel, NJ 07733-1103
Phone (732) 606-0990

Other identifiers 2

IdentifierTypeStateIssuer
40754MedicaidNJ
2055337OtherPK

Other names 1

  • ShopRite Pharmacy #618 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150105000877 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 1153525837 9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Toms River, NJ; Waretown, NJ; Skillman, NJ; Monmouth Junction, NJ; Manchester, NJ; Manahawkin, NJ; Lanoka Harbor, NJ; Jackson, NJ…
O20220309000617 NJ DME Supplier - PharmacyDME Supplier - Grocery Store 1153525837 Practice locations: Bayville, NJ

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Saker Shoprites Inc427-429 Route 9 North, Bayville, NJ 08721(732) 606-0990 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Orthoses: Off-The-Shelf Does not accept assignmentParticipating since Mar 27, 2007

National Provider Directory

National Provider Directory
Tax ID family
Saker Shoprites Inc41 organizations share this tax ID, including this one

Other organizations with this tax ID 40

Organizations that report the same tax identification number in the National Provider Directory.

View all 40

Practitioners & affiliated clinicians

Practitioners 3

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": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1053456152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CENTERVILLE RD",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331103",
            "telephone_number": "732-606-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427-429 ROUTE 9 NORTH",
            "city": "BAYVILLE",
            "state": "NJ",
            "postal_code": "08721",
            "telephone_number": "732-606-0990",
            "fax_number": "732-606-9479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAKER SHOPRITES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "FELLER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF PRIVACY AND SECURITY OFFICER",
        "authorized_official_telephone_number": "732-294-2278"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00636100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40754",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2055337",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ShopRite Pharmacy #618",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bayville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.