NPIMap

Organization Active NPI

Saker Shoprites Inc.

Doing business as Shoprite Pharmacy #522

  • Community/Retail Pharmacy
  • Woodbridge, NJ
National Provider Identifier
1396850178
Registry record updated Aug 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SAKER SHOPRITES INC.
Doing business as
Shoprite Pharmacy #522
Practice address
877 Saint George Ave
Woodbridge, NJ 07095-2514
Phone
(732) 636-4151
Fax
(732) 636-7123
NPI assigned
Aug 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2010

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

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X RS004240 NJ
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

877 Saint George Ave
Woodbridge, NJ 07095-2514

Mailing address

877 Saint George Ave
Woodbridge, NJ 07095-2514
Phone (732) 636-4151

Other identifiers 3

IdentifierTypeStateIssuer
3130414OtherOTHER ID NUMBER-COMMERCIAL NUMBER
4403207MedicaidNJ
4403215OtherNJMEDICAID DME

Other names 1

  • Shoprite Pharmacy #522 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930035356 NJ DME Supplier - PharmacyDME Supplier - Grocery Store 1153525837 Practice locations: Woodbridge, NJ
O20101111001307 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 1153525837 28 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Neptune, NJ; Woodbridge, NJ; West Long Branch, NJ; Wall, NJ; Trenton, NJ; South Plainfield, NJ; Somerville, NJ; Shrewsbury, NJ…

Other NPIs on the same Medicare enrollment 28

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 28

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Saker Shoprites Inc877 Saint George Ave, Woodbridge, NJ 07095-2514(732) 636-4151 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) Does not accept assignmentParticipating since Mar 27, 2007

National Provider Directory

National Provider Directory
Tax ID family
Shoprite Pharmacy 29941 organizations share this tax ID, including this one

Other organizations with this tax ID 40

Organizations that report the same tax identification number in the National Provider Directory.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281484800000",
    "number": "1396850178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 SAINT GEORGE AVE",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070952514",
            "telephone_number": "732-636-4151",
            "fax_number": "732-636-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 SAINT GEORGE AVE",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070952514",
            "telephone_number": "732-636-4151",
            "fax_number": "732-636-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAKER SHOPRITES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2010-08-11",
        "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": "RS004240",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3130414",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4403207",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "4403215",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shoprite Pharmacy #522",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodbridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.