Lawnside Shoprite LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LAWNSIDE SHOPRITE LLC

Doing business as

Shoprite Pharmacy of Lawnside

Practice address

130 White Horse Pike N
Lawnside, NJ 08045-1128

Phone

(856) 627-6501

NPI assigned

Feb 11, 2013

Last updated

Dec 30, 2014By 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

Melissa Figueroa Rivera

Title

Third Party Administrator

Phone

(732) 521-8439

Specialties & licenses 1

Addresses

Other names 1

• Shoprite Pharmacy of Lawnside Doing business as

Locations

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

{
    "created_epoch": "1360540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419897600000",
    "number": "1053650119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 BLACKWOOD CLEMENTON RD",
            "city": "CLEMENTON",
            "state": "NJ",
            "postal_code": "080215632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 WHITE HORSE PIKE N",
            "city": "LAWNSIDE",
            "state": "NJ",
            "postal_code": "080451128",
            "telephone_number": "856-627-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWNSIDE SHOPRITE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-11",
        "last_updated": "2014-12-30",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shoprite Pharmacy of Lawnside",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James L Hewitt, MD, PA
• Joseph C Hewitt, MD, DO
• Olivia Hopkins, DMD
• Alexander Lacroce
• Lawnside Public School
• Living Through My Dreams, LLC
• Madearia Lynette Lowery
• Anthony Mazzone, DMD
• Ann M. Mewherter, R.PH.
• National Mentor Healthcare, LLC (New Jersey MENTOR)

• Community/Retail Pharmacy in Lawnside, NJ
• Providers in Lawnside, 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 Dec 30, 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.