NPIMap

Organization Active NPI

Ronetco Supermarkets, Inc

  • Community/Retail Pharmacy
  • Flanders, NJ
National Provider Identifier
1245345024
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
RONETCO SUPERMARKETS, INC
Practice address
90 Bartley Rd
Flanders, NJ 07836-9659
Phone
(973) 252-1940
Fax
(973) 252-5070
NPI assigned
Aug 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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) 521-8448

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X RS03101 NJ
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

90 Bartley Rd
Flanders, NJ 07836-9659

Mailing address

1070 Route 46
Ledgewood, NJ 07852-9701
Phone (973) 927-3000

Other identifiers 2

IdentifierTypeStateIssuer
0048674MedicaidNJ
3192224OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • SHOPRITE PHARMACY OF FLANDERS Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100723000236 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 9830221092 8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Flanders, NJ; Byram Township, Stanhope, NJ; Sussex, NJ; Succasunna, NJ; Sparta, NJ; Netcong, NJ; Hackettstown, NJ; Franklin, NJ…
O20100930099468 NJ DME Supplier - PharmacyDME Supplier - Grocery Store 9830221092 Practice locations: Flanders, NJ

Other NPIs with the same Medicare PAC ID 8

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

Other NPIs on the same Medicare enrollment 8

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 of Flanders-Pharmacy Dept90 Bartley Rd, Flanders, NJ 07836-9659(973) 252-1479 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Orthoses: Off-The-Shelf|Ostomy Supplies|Nebulizer Equipment a… Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Ronetco Supermarket Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in 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": "1732147200000",
    "number": "1245345024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 ROUTE 46",
            "city": "LEDGEWOOD",
            "state": "NJ",
            "postal_code": "078529701",
            "telephone_number": "973-927-3000",
            "fax_number": "973-927-4953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 BARTLEY RD",
            "city": "FLANDERS",
            "state": "NJ",
            "postal_code": "078369659",
            "telephone_number": "973-252-1940",
            "fax_number": "973-252-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONETCO SUPERMARKETS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "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": "732-521-8448"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "RS03101",
            "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": "0048674",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3192224",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHOPRITE PHARMACY OF FLANDERS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flanders, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.