Active NPI
Shaws Supermarkets Inc
- Community/Retail Pharmacy
- Cranston, RI
National Provider Identifier
1477509479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHA00360
- Legal business name
- SHAWS SUPERMARKETS INC
- Practice address
- 8 Chapel View Blvd
Cranston, RI 02905 - Phone
- (401) 464-9181
- Fax
- (401) 464-9154
- NPI assigned
- May 25, 2006
- Organization subpart
- Yes
- Parent organization
- SUPERVALU INC
NPPES NPI Registry
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHA00360 | RI | Primary |
Addresses
Primary practice location
8 Chapel View Blvd
Cranston, RI 02905
Mailing address
8 Chapel View Blvd
Cranston, RI 02905
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4106399 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| SS57302 | Medicaid | RI |
National Provider Directory
National Provider Directory- Part of
- Supervalu Inc
Member of 2
Organizations this organization is a member of, according to the National Provider Directory.
Locations
8 Chapel View Blvd
Cranston, RI 02920
Phone (401) 464-9181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1516665600000",
"number": "1477509479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 CHAPEL VIEW BLVD",
"city": "CRANSTON",
"state": "RI",
"postal_code": "02905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 CHAPEL VIEW BLVD",
"city": "CRANSTON",
"state": "RI",
"postal_code": "02905",
"telephone_number": "401-464-9181",
"fax_number": "401-464-9154"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHAWS SUPERMARKETS INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SUPERVALU INC",
"enumeration_date": "2006-05-25",
"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": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "RI",
"license": "PHA00360",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "4106399",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SS57302",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cranston, RI
Sources for this page
- 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.