Shoprite of Commack LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

030473 Issued in NY

Legal business name

SHOPRITE OF COMMACK LLC

Doing business as

Shoprite of Commack LLC

Practice address

1 Garet PL
Commack, NY 11725-5420

Phone

(631) 864-0828

Fax

(631) 864-0874

NPI assigned

Nov 9, 2010

Last updated

Apr 28, 2017By 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

Melissa Figueroa Rivera

Title

Third Party Administrator

Phone

(732) 521-8439

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Shoprite of Commack LLC Doing business as

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.

• Jerome D Berg, BS REG PH

  • Pharmacist
  • Commack, NY
  • NPI 1942486071
  NPD (past)
• Gail Z Comparato, RPH

  • Pharmacist
  • Commack, NY
  • NPI 1740503838
  NPD (past)
• Jean Ding, B.S. PHARM., RPH

  • Pharmacist
  • Fresh Meadows, NY
  • NPI 1053633222
  NPD (past)

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493337600000",
    "number": "1467753319",
    "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": "1 GARET PL",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117255420",
            "telephone_number": "631-864-0828",
            "fax_number": "631-864-0874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOPRITE OF COMMACK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-09",
        "last_updated": "2017-04-28",
        "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": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "030473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3305777",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2127723",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shoprite of Commack LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael D. Sherer, PSY.D.
• Brianna Sherwood, PA-C
• Denise Shield, PT
• Yelena Shik, R LCSW
• Samra Shoaib, MD
• Gary Shoykhet, MR.
• Sara-Anne Sichler
• Julianne Sicker, B.S, BSOT, M.S.O.T
• Asra F Siddiqi, MD
• Jessica Siess

• Community/Retail Pharmacy in Commack, NY
• Providers in Commack, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; 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.