Racetrack Supermarket LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00569600 Issued in NJ

Legal business name

RACETRACK SUPERMARKET LLC

Doing business as

Shoprite Pharmacy

Practice address

2230 Route 70 W # 40
Cherry Hill, NJ 08002-3338

Phone

(856) 910-2320

Fax

(856) 910-2322

NPI assigned

Aug 20, 2006

Organization subpart

No

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

Addresses

Other identifiers 2

Other names 1

• SHOPRITE PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507680000000",
    "number": "1275648057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15169",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071925169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 ROUTE 70 W # 40",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080023338",
            "telephone_number": "856-910-2320",
            "fax_number": "856-910-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACETRACK SUPERMARKET LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2017-10-11",
        "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": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00569600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2054068",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7845103",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHOPRITE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• R-Health Primary Care Medical Home LLC (R-Health Cherry Hill)
• Ra Pain Services, P.a.
• Daniel Ra, D.O.
• Delnaz Rabinowitz
• Marcy Mr Rabinowitz, MA, RD
• Kathleen Racich
• Joseph A Racite, PHD LPC
• Dawn I Raczkowski
• Mark Rader, PH.D.
• Christina S Radicella

• Community/Retail Pharmacy in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.