Saker Shoprites Inc
Organization Active NPI Community/Retail Pharmacy · Hazlet, NJ
NPI 1497890586 · NPPES record last updated Feb 7, 2014
Key facts
- NPI
- 1497890586
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- RS002222 (NJ)
- Legal business name
- SAKER SHOPRITES INC
- Practice address
- 3120 Hwy 35
Hazlet, NJ 07730-1520 - Phone
- (732) 264-8230
- Fax
- (732) 209-0895
- NPI assigned
- Feb 20, 2007
- Organization subpart
- No
Authorized official
- Name
- Melissa Figueroa Rivera
- Title
- Third Party Administrator
- Phone
- (732) 521-8439
Other NPIs on the same Medicare enrollment 28
Corporate family (same tax ID) 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930033618 | NJ | DME Supplier - Pharmacy |
1153525837 | Practice locations: Hazlet, NJ |
| O20101111001307 | NJ | Part B Supplier - Mass Immunization (Roster Biller Only) | 1153525837 |
28 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Neptune, NJ; Woodbridge, NJ; West Long Branch, NJ; Wall, NJ; Trenton, NJ; South Plainfield, NJ; Somerville, NJ; Shrewsbury, NJ… |
National Provider Directory
- Tax ID family
- Saker Shoprites Inc
Locations
3150 Highway 35
Hazlet, NJ 07730
3120 State Route 35
Hazlet, NJ 07730
Phone (732) 264-8230
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | RS002222 | NJ | Yes |
Addresses
Primary practice location
3120 Hwy 35
Hazlet, NJ 07730-1520
Mailing address
3120 Hwy 35
Hazlet, NJ 07730-1520
Phone (732) 264-8230
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3109700 | Other | NJ | NCPDP |
| 4292502 | Medicaid | NJ | |
| 4292511 | Other | NJ | MEDICAID DME |
Other providers in Hazlet, NJ
- Steven Sabatell
- Jeffrey Scott Sachs
- Elsayed A Sahloul
- Sahni Med LLC
- Ryan Sahni
- Rama T Sambandan
- Melanie Saray
- Joseph A Sarnelle
- Cara Scarpato
- Monica Schiffman
All providers in Hazlet, NJ · Community/Retail Pharmacy in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.