Five Star Supermarkets of Norwich Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PCY0002261 Issued in CT

Legal business name

FIVE STAR SUPERMARKETS OF NORWICH INC

Practice address

634 W Main St
Norwich, CT 06360-6007

Phone

(860) 859-9758

Fax

(860) 859-9789

NPI assigned

Feb 19, 2013

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 1

Other names 1

• Shoprite Pharmacy of Norwich Doing business as

Locations

Practitioners 4

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

• Sara Jessica Desmarais, PHARMD

  • Pharmacist
  • Norwich, CT
  • NPI 1467048546
  NPD (past)
• Deborah Otka

  • Pharmacist
  • Groton, CT
  • NPI 1164879508
  NPD (past)
• Michelle Pressler, PHARMD

  • Pharmacist
  • Norwich, CT
  • NPI 1457700189
  NPD (past)
• Jessica Yung

  • Pharmacist
  • Groton, CT
  • NPI 1912477274
  NPD (past)

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

{
    "created_epoch": "1361232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392163200000",
    "number": "1407196066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15169",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071925169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 W MAIN ST",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063606007",
            "telephone_number": "860-859-9758",
            "fax_number": "860-859-9789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR SUPERMARKETS OF NORWICH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-19",
        "last_updated": "2014-02-12",
        "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": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CT",
            "license": "PCY0002261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2139503",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shoprite Pharmacy of Norwich",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Freeman Daniel Fields II
• Jill Fischer, APRN, BC
• Ted B Fischer, D.M.D.
• Carter C Fish, NMW
• Erin Elizabeth Fitzpatrick, PT, DPT
• Mary Flanigan, CNM
• Airiel Elizabeth Fletcher
• Julia Ellan Florek
• Judith Flores, LMSW
• Flourish Therapeutics LLC

• Community/Retail Pharmacy in Norwich, CT
• Providers in Norwich, CT by specialty
• Community/Retail Pharmacy in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; 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.