Union Mill Supemarket LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00673700 Issued in NJ

Legal business name

UNION MILL SUPEMARKET LLC

Practice address

892 Union Mill Rd
Mount Laurel, NJ 08054-9561

Phone

(856) 365-0341

Fax

(856) 225-0348

NPI assigned

Jul 23, 2007

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 1

Other names 1

• Shoprite Pharmacy Dept #525 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.

• Jennifer Ann Gundlach, PHARM D, RPH

  • Pharmacist
  • Mount Laurel, NJ
  • NPI 1881298743
  NPD (past)
• John Leone

  • Pharmacist
  • Mount Laurel, NJ
  • NPI 1063010494
  NPD (past)

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1497955900",
    "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",
            "telephone_number": "856-365-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "892 UNION MILL RD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080549561",
            "telephone_number": "856-365-0341",
            "fax_number": "856-225-0348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION MILL SUPEMARKET LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2025-09-19",
        "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": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00673700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2056166",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shoprite Pharmacy Dept #525",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Morgan Tyson
• U.S. Healthworks Medical Group of New Jersey, PC
• Nneka Tionne Udoye, RBT
• Marco Canlas Udpaga, PT, DPT
• Melanie Uhse
• Unity Love Home Healthcare NJ
• Barrie Urbano, MSS, LSW
• Urofirst Care LLC
• US Functional, LLC
• Katherine Valora

• Community/Retail Pharmacy in Mount Laurel, NJ
• Providers in Mount Laurel, 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 Sep 19, 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.