Mount Laurel Supermarket Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MOUNT LAUREL SUPERMARKET INC

Doing business as

Shoprite Pharmacy

Practice address

1000 Nixon Dr
Mount Laurel, NJ 08054-1171

Phone

(856) 439-1144

Fax

(856) 436-1348

NPI assigned

Aug 20, 2006

Last updated

Nov 20, 2018By 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

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

Practitioners 1

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.

• Amanda Li, PHARMD

  • Pharmacist
  • Mount Laurel, NJ
  • NPI 1366047201
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542672000000",
    "number": "1386759165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NIXON DR",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NIXON DR",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541171",
            "telephone_number": "856-439-1144",
            "fax_number": "856-436-1348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT LAUREL SUPERMARKET INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2018-11-20",
        "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": "NJ",
            "license": "RS004934",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6241107",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3135565",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHOPRITE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SHOPRITE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven C Moshen, D.M.D.
• Mount Laurel Board of Education
• Mount Laurel Dental Associates LLC
• Mount Laurel Physical Therapy
• Mount Laurel Primary Care Physicians, PC (Besen Goldstein Medical Associates)
• Mount Laurel Township (Mount Laurel Township EMS)
• Move Well Mobile Physical Therapy LLC
• Mt Laurel Ctr for the Family
• Mt Laurel Endoscopy Center L P (Mount Laurel Surgery Center)
• Mt. Laurel Counseling Associates

• Community/Retail Pharmacy in Mount Laurel, NJ
• Providers in Mount Laurel, 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 Nov 20, 2018; 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.