NPIMap

Organization Active NPI

Berat Corporation

Doing business as Shoprite Pharmacy #651

  • Pharmacy
  • Woodbury, NJ
National Provider Identifier
1093820870
Registry record updated Sep 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
RS005521 Issued in NJ
Legal business name
BERAT CORPORATION
Doing business as
Shoprite Pharmacy #651
Practice address
1077 Mantua Pike
Woodbury, NJ 08096-3919
Phone
(856) 468-3040
Fax
(856) 468-5298
NPI assigned
Aug 20, 2006
Last updated
Sep 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2010

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

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X RS005521 NJ Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

1077 Mantua Pike
Woodbury, NJ 08096-3919

Mailing address

1230 Blackwood Clementon Rd
Clementon, NJ 08021-5632

Other identifiers 2

IdentifierTypeStateIssuer
7441304MedicaidNJ
3139448OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • Shoprite Pharmacy #651 Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100929000654 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 7012033855 4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Clementon, NJ; Woodbury Heights, NJ; Williamstown, NJ; West Berlin, NJ; Glassboro, NJ
O20100930065733 NJ DME Supplier - Pharmacy 7012033855 Practice locations: Woodbury, NJ

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

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
Shop Rite Pharmacy of West Deptford1077 Mantua Pike, Woodbury, NJ 08096-3919(856) 468-3040 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Orthoses: Off-The-Shelf Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Berat Corporation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the 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": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285632000000",
    "number": "1093820870",
    "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": "1077 MANTUA PIKE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080963919",
            "telephone_number": "856-468-3040",
            "fax_number": "856-468-5298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERAT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2010-09-28",
        "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": "NJ",
            "license": "RS005521",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7441304",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3139448",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shoprite Pharmacy #651",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodbury, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.