Organization Active NPI

Shaws Supermarkets Inc

Doing business as Osco Pharmacy

  • Community/Retail Pharmacy
  • Plaistow, NH
National Provider Identifier
1053507251
Registry record updated Feb 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0740P Issued in NH
Legal business name
SHAWS SUPERMARKETS INC
Doing business as
Osco Pharmacy
Practice address
4 Plaistow Rd
Plaistow, NH 03865-4806
Phone
(603) 382-0726
Fax
(603) 382-0846
NPI assigned
Sep 20, 2007
Last updated
Feb 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2009

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

Authorized official

Name
Julie Schreiner
Title
Manager Plan Implementation
Phone
(847) 916-4711

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 0740P NH Primary

Addresses

Primary practice location

4 Plaistow Rd
Plaistow, NH 03865-4806

Mailing address

3030 Cullerton St
Franklin Park, IL 60131-2205

Other identifiers 3

IdentifierTypeStateIssuer
0416053MedicaidMA
3060958OtherNCPDP PROVIDER IDENTIFICATION NUMBER
30706104MedicaidNH

Other names 1

  • OSCO PHARMACY Doing business as

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234828800000",
    "number": "1053507251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 CULLERTON ST",
            "city": "FRANKLIN PARK",
            "state": "IL",
            "postal_code": "601312205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PLAISTOW RD",
            "city": "PLAISTOW",
            "state": "NH",
            "postal_code": "038654806",
            "telephone_number": "603-382-0726",
            "fax_number": "603-382-0846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWS SUPERMARKETS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2009-02-17",
        "status": "A",
        "authorized_official_last_name": "SCHREINER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "MANAGER PLAN IMPLEMENTATION",
        "authorized_official_telephone_number": "847-916-4711"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NH",
            "license": "0740P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0416053",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3060958",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30706104",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OSCO PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plaistow, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; 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.