Organization Active NPI

East Haven Markets LLC

Doing business as Shoprite Pharmacy of East Haven

  • Community/Retail Pharmacy
  • East Haven, CT
National Provider Identifier
1245672237
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PCY0002277 Issued in CT
Legal business name
EAST HAVEN MARKETS LLC
Doing business as
Shoprite Pharmacy of East Haven
Practice address
745 Foxon Rd
East Haven, CT 06513-1873
Phone
(475) 202-5184
Fax
(475) 202-5187
NPI assigned
Jul 19, 2013
Last updated
Sep 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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 NU
Community/Retail Pharmacy 3336C0003X PCY0002277 CT Primary

Addresses

Primary practice location

745 Foxon Rd
East Haven, CT 06513-1873

Mailing address

P.O. Box 15169
Newark, NJ 07192
Phone (475) 202-5184

Other identifiers 1

IdentifierTypeStateIssuer
2141620OtherPK

Other names 1

  • Shoprite Pharmacy of East Haven Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140107000084 CT DME Supplier - PharmacyDME Supplier - Grocery Store 8921236589 Practice locations: East Haven, CT
O20140408001484 CT Part B Supplier - Mass Immunization (Roster Biller Only) 8921236589 Practice locations: East Haven, CT

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
East Haven Markets LLC745 Foxon Rd, East Haven, CT 06513-1873(475) 202-5184 Epoetin|Immunosuppressive Drugs|Infusion 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 Nov 15, 2013

National Provider Directory

National Provider Directory

Locations

745 Foxon Rd
East Haven, CT 06513
Phone (475) 202-5184

Practitioners & affiliated clinicians

Practitioners 5

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": "1374192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1245672237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 15169",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07192",
            "telephone_number": "475-202-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 FOXON RD",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065131873",
            "telephone_number": "475-202-5184",
            "fax_number": "475-202-5187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST HAVEN MARKETS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-19",
        "last_updated": "2025-09-19",
        "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": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CT",
            "license": "PCY0002277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2141620",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shoprite Pharmacy of East Haven",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.