Inserra Supermarkets Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00629900 Issued in NJ

Legal business name

INSERRA SUPERMARKETS INC

Doing business as

Shoprite Pharmacy
ShopRite Pharmacy #133

Practice address

367 Route 22
Hillside, NJ 07205-2056

Phone

(908) 810-8060

Fax

(908) 810-8063

NPI assigned

Aug 20, 2006

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 2

Addresses

Other identifiers 3

Other names 2

• SHOPRITE PHARMACY Doing business as
• ShopRite Pharmacy #133 Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

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.

• Azuka Obuba, PHARM.D

  • Pharmacist
  • Hillside, NJ
  • NPI 1619563624
  NPD
• Prince Addo, R.PH

  • Pharmacist
  • Hillside, NJ
  • NPI 1710578885
  NPD (past)
• Rosina Foo

  • Pharmacist
  • Conroe, TX
  • NPI 1770189466
  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": "1787011200000",
    "number": "1073628855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 ROUTE 22",
            "city": "HILLSIDE",
            "state": "NJ",
            "postal_code": "072052056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 ROUTE 22",
            "city": "HILLSIDE",
            "state": "NJ",
            "postal_code": "072052056",
            "telephone_number": "908-810-8060",
            "fax_number": "908-810-8063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSERRA SUPERMARKETS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "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": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00629900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15679",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3145554",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015679",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHOPRITE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ShopRite Pharmacy #133",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hillside Family Practice PC
• Hillside Physical Therapy
• Hillside TWP. Publlic School
• Home Base Therapy LLC (Home Base Rehab)
• Emmanuel Igho, LPN
• Iy Nursing Agency (KP Homecare Services LLC)
• Jay P Jacobson, D.C.
• Stephanie Jasmin, LMSW
• JC Medical Service LLC
• Levi Sighee Johnson, MA, LCADC

• Community/Retail Pharmacy in Hillside, NJ
• Providers in Hillside, 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 Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.