Shaws Supermarkets Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0650P Issued in NH

Legal business name

SHAWS SUPERMARKETS INC

Practice address

375 S Willow St
Manchester, NH 03103-5729

Phone

(603) 627-2564

Fax

(603) 627-0748

NPI assigned

May 26, 2006

Last updated

Jan 23, 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

Demond Hawkins

Title

Third Party Manager

Phone

(208) 395-3905

Specialties & licenses 3

Addresses

Other identifiers 2

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Albertsons LLC

  dba Sav-On Pharmacy #3174

  • Community/Retail Pharmacy
  • Ammon, ID
  • NPI 1922055383

  Member Of

  NPD member
• Safeway Inc

  dba Safeway Phamracy #4837

  • Community/Retail Pharmacy
  • District Heights, MD
  • NPI 1588600191

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516665600000",
    "number": "1467408724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 CULLERTON ST",
            "city": "FRANKLIN PARK",
            "state": "IL",
            "postal_code": "601312205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 S WILLOW ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031035729",
            "telephone_number": "603-627-2564",
            "fax_number": "603-627-0748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWS SUPERMARKETS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2018-01-23",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "DEMOND",
        "authorized_official_title_or_position": "THIRD PARTY MANAGER",
        "authorized_official_telephone_number": "208-395-3905"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NH",
            "license": "0650P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2053659",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3074469",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Shaw
• Elysha Mae Shaw, OTR/L
• Peter Wilson Shaw, MD
• Sarah Shaw, PHD, LP
• Yvonne Shaw, MS
• Joseph E Sheehan, D.D.S., P.C.
• Karol Sheehan, LICSW
• Meghan Elizabeth Sheehan, CRNP
• Melissa Sheehan, MA, LCMHC
• Susan Giuditta Sheehy, RD LD

• Community/Retail Pharmacy in Manchester, NH
• Providers in Manchester, NH by specialty
• Community/Retail Pharmacy in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.