Center Square Supermarket, LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

CENTER SQUARE SUPERMARKET, LLC

Practice address

382 Egg Harbor Rd
Sewell, NJ 08080-1857

Phone

(856) 582-3961

NPI assigned

Aug 14, 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 3

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.

• Diane Marie Cheli, RPH

  • Pharmacist
  • Sewell, NJ
  • NPI 1912823139
  NPD (past)
• Kevin Francis Little

  • Pharmacist
  • Sewell, NJ
  • NPI 1083210751
  NPD (past)
• Pamela Jean Mayfield, DOCTOR OF PHARMACY

  • Pharmacist
  • Sewell, NJ
  • NPI 1497341838
  NPD (past)

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269907200000",
    "number": "1396758918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 EGG HARBOR RD",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080801857",
            "telephone_number": "856-582-3961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "382 EGG HARBOR RD",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080801857",
            "telephone_number": "856-582-3961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER SQUARE SUPERMARKET, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2010-03-30",
        "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": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3193757",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Catterall, M.ED., CF-SLP
• Jennifer Nicole Caudle, D.O.
• Center for Cancer and Hematologic Disease PA
• Center for Emotional Wellness and Healing, LLC
• Center for Eyecare LLC
• Anthony J Cerone Jr., D.O.
• Howard B Cetel, DDS
• CGS Family Partnership Inc.
• CGS Family Partnership Inc.
• Lilian Chan

• Pharmacy in Sewell, NJ
• Providers in Sewell, NJ by specialty
• Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.