GLN Shop Associates LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00743800 Issued in NJ

Legal business name

GLN SHOP ASSOCIATES LLC

Doing business as

Shop Rite Pharmacy Dept 178

Practice address

206 Springfield Ave
Newark, NJ 07103-2916

Phone

(973) 877-3641

NPI assigned

Jun 8, 2015

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 2

Other names 1

• Shop Rite Pharmacy Dept 178 Doing business as

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 2

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

• Lisa Marie Blesson, R.PH.

  • Pharmacist
  • Newark, NJ
  • NPI 1902074370
  NPD (past)
• Stacy M. Sofia, R.PH., CCP

  • Pharmacist
  • Newark, NJ
  • NPI 1740459411
  NPD (past)

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744329600000",
    "number": "1437539103",
    "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": "206 SPRINGFIELD AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032916",
            "telephone_number": "973-877-3641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLN SHOP ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-08",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "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": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00743800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0507016",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2152800",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shop Rite Pharmacy Dept 178",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Gittens, M.D.
• Mary E Gizzi, LCSW
• Dawn Glasco, LCSW
• Nina Elizabeth Glass, M.D.
• Elizabeth Gleyzer, PSYD
• Elikem Kay Glover
• Glowing Hearts Home Care Services
• Leeann M Glozman, NP
• Kenneth A Gluck, DMD
• Talya Gluck, DMD

• Community/Retail Pharmacy in Newark, NJ
• Providers in Newark, 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 Apr 11, 2025; 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.