Active NPI
Stop & Shop Supermarket Company LLC
- Community/Retail Pharmacy
- Carlisle, PA
National Provider Identifier
1154527075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- STOP & SHOP SUPERMARKET COMPANY LLC
- Practice address
- 1149 Harrisburg Pike
Carlisle, PA 17013 - Phone
- (207) 885-7454
- NPI assigned
- Jun 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gordon Reid
- Title
- President
- Phone
- (207) 885-7454
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
1149 Harrisburg Pike
Carlisle, PA 17013
Mailing address
PO Box 1000
Portland, ME 04104-5005
Phone (207) 885-7454
Other practice location 1
1385 Hancock St
Quincy, MA 02169-5103
Phone (617) 770-6257
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D1005116 | Stop and Shop | Certificate of waiver | Dec 16, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Stop Shop Pharmacy 434
Locations
1149 Harrisburg Pike
Carlisle, PA 17013
Phone (717) 240-5520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1642723200000",
"number": "1154527075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1000",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041045005",
"telephone_number": "207-885-7454",
"fax_number": "704-645-6531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1149 HARRISBURG PIKE",
"city": "CARLISLE",
"state": "PA",
"postal_code": "17013",
"telephone_number": "207-885-7454"
}
],
"practiceLocations": [
{
"address_1": "1385 Hancock St",
"address_purpose": "LOCATION",
"city": "Quincy",
"state": "MA",
"postal_code": "021695103",
"country_code": "US",
"telephone_number": "617-770-6257",
"fax_number": "617-770-8671",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "STOP & SHOP SUPERMARKET COMPANY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-26",
"last_updated": "2022-01-21",
"certification_date": "2022-01-21",
"status": "A",
"authorized_official_last_name": "REID",
"authorized_official_first_name": "GORDON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "207-885-7454"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carlisle, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.