NPIMap

Organization Active NPI

Saker Shoprites Inc

Doing business as ShopRite Pharmacy #616

  • Community/Retail Pharmacy
  • Jackson, NJ
National Provider Identifier
1083729867
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SAKER SHOPRITES INC
Doing business as
ShopRite Pharmacy #616
Practice address
260 N County Line Rd
Jackson, NJ 08527-4473
Phone
(732) 886-7006
Fax
(732) 886-5016
NPI assigned
Aug 20, 2006
Last updated
Dec 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Authorized official

Name
Paul E FellerNPI 1780863845
Title
Chief Privacy and Security Officer
Phone
(732) 294-2278

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X RS006094 NJ
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

260 N County Line Rd
Jackson, NJ 08527-4473

Mailing address

10 Centerville Rd
Holmdel, NJ 07733-1103

Other identifiers 3

IdentifierTypeStateIssuer
8772509MedicaidNJ
3144134OtherOTHER ID NUMBER-COMMERCIAL NUMBER
8772517OtherMEDICAID DME

Other names 1

  • ShopRite Pharmacy #616 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…
O20220304001447 NJ DME Supplier - Pharmacy 1153525837 Practice locations: Jackson, 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
Shoprite Pharmacy #616260 N County Line Rd, Jackson, NJ 08527-4473(732) 886-7006 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-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 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640822400000",
    "number": "1083729867",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 N COUNTY LINE RD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085274473",
            "telephone_number": "732-886-7006",
            "fax_number": "732-886-5016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAKER SHOPRITES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "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": "NJ",
            "license": "RS006094",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8772509",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3144134",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "8772517",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ShopRite Pharmacy #616",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ShopRite Pharmacy #616",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.