Stop & Shop Supermarket Company, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2660 Issued in MA

Legal business name

STOP & SHOP SUPERMARKET COMPANY, LLC

Practice address

539571 Boston Turnpike
Shrewsbury, MA 01545

Phone

(508) 842-2771

Fax

(508) 842-1517

NPI assigned

Jul 7, 2006

Organization subpart

No

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

Authorized official

Name

Brad Dayton

Title

Director

Phone

(617) 770-8782

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• STOP AND SHOP PHARMACY #91 Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kerri Kiley

  • Pharmacist
  • Shrewsbury, MA
  • NPI 1790252716
  NPD (past)
• Andrew James Lee, PHARMD

  • Pharmacist
  • Shrewsbury, MA
  • NPI 1144817735
  NPD (past)
• Sarika Walia, PHARMD

  • Pharmacist
  • Shrewsbury, MA
  • NPI 1962125781
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1386676260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539571 BOSTON TURNPIKE",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "01545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539571 BOSTON TURNPIKE",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "01545",
            "telephone_number": "508-842-2771",
            "fax_number": "508-842-1517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOP & SHOP SUPERMARKET COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "DAYTON",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "617-770-8782"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MA",
            "license": "2660",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MA",
            "license": "2660",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": "2660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0445452",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2236289",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STOP AND SHOP PHARMACY #91",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paige Standen
• Stanley Kim DDS LLC
• Rebecca Steinberg, DPT
• Step Together
• Kenneth A Stevens, M.D.
• Celeste E. Straight, M.D.
• Sunrise Healthcare LLC
• Susan Crimmins Licsw
• Joshua Swain
• Elaine Mary Sweeney, PH. D.

• Community/Retail Pharmacy in Shrewsbury, MA
• Providers in Shrewsbury, 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 May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.