Active NPI
Shaws Supermarkets Inc
- Community/Retail Pharmacy
- Carver, MA
National Provider Identifier
1356397889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 3402
- Legal business name
- SHAWS SUPERMARKETS INC
- Practice address
- 100 N Main St
Carver, MA 02330-1046 - Phone
- (508) 866-2396
- Fax
- (508) 866-2785
- NPI assigned
- May 26, 2006
- 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
- Diona Townsend
- Title
- Asst Manager Plan Implementation
- Phone
- (847) 916-4513
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 3402 | MA | Primary |
Addresses
Primary practice location
100 N Main St
Carver, MA 02330-1046
Mailing address
3030 Cullerton St
Franklin Park, IL 60131-2205
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2241052 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 0406830 | Medicaid | MA |
Other names 1
- OSCO PHARMACY
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1267747200000",
"number": "1356397889",
"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": "100 N MAIN ST",
"city": "CARVER",
"state": "MA",
"postal_code": "023301046",
"telephone_number": "508-866-2396",
"fax_number": "508-866-2785"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHAWS SUPERMARKETS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-26",
"last_updated": "2010-03-05",
"status": "A",
"authorized_official_last_name": "TOWNSEND",
"authorized_official_first_name": "DIONA",
"authorized_official_title_or_position": "ASST MANAGER PLAN IMPLEMENTATION",
"authorized_official_telephone_number": "847-916-4513"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MA",
"license": "3402",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "2241052",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0406830",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "OSCO PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Carver, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.