Shaws Supermarkets Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

3501 Issued in MA

Legal business name

SHAWS SUPERMARKETS INC

Doing business as

Osco Pharmacy

Practice address

2077 Main St
Brockton, MA 02301-7161

Phone

(508) 232-2260

Fax

(508) 232-2263

NPI assigned

Jan 16, 2007

Last updated

Dec 30, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Julie Schreiner

Title

Manager Plan Implementation

Phone

(847) 916-4711

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• OSCO PHARMACY Doing business as

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Albertsons LLC

  dba Sav-On Pharmacy #3174

  • Community/Retail Pharmacy
  • Ammon, ID
  • NPI 1922055383

  Member Of

  NPD member
• Safeway Inc

  dba Safeway Phamracy #4837

  • Community/Retail Pharmacy
  • District Heights, MD
  • NPI 1588600191

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230595200000",
    "number": "1316098056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 CULLERTON ST",
            "city": "FRANKLIN PARK",
            "state": "IL",
            "postal_code": "601312205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2077 MAIN ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023017161",
            "telephone_number": "508-232-2260",
            "fax_number": "508-232-2263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWS SUPERMARKETS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2008-12-30",
        "status": "A",
        "authorized_official_last_name": "SCHREINER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "MANAGER PLAN IMPLEMENTATION",
        "authorized_official_telephone_number": "847-916-4711"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": "3501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0408069",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2241660",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OSCO PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Shaw
• Erin Shaw
• Meredith Anne Shaw, PH.D.
• Molly Shaw, PA-C
• Ryan T Shaw
• Shaws Supermarkets Inc (Shaws Pharmacy #1429)
• Amanda Joan Shea, LICSW
• Erin Marie Shea, PHD, FNP-BC
• Caroline Shearer, LMHC
• Sean R Sheeran, MD

• Community/Retail Pharmacy in Brockton, MA
• Providers in Brockton, MA by specialty
• Community/Retail Pharmacy in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2008; 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.