Shop Rite of Belleville LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00729400 Issued in NJ

Legal business name

SHOP RITE OF BELLEVILLE LLC

Practice address

726 Washington Ave
Belleville, NJ 07109-2871

Phone

(973) 450-0466

NPI assigned

Jul 19, 2013

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 1

Addresses

Other identifiers 1

Other names 1

• Belleville Shoprite Pharmacy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maria Bruggemann

  • Pharmacist
  • Nutley, NJ
  • NPI 1902405053
  NPD (past)

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

{
    "created_epoch": "1374192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388966400000",
    "number": "1508208570",
    "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": "726 WASHINGTON AVE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071092871",
            "telephone_number": "973-450-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOP RITE OF BELLEVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-19",
        "last_updated": "2014-01-06",
        "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": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00729400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2142001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Belleville Shoprite Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nehali Shah
• Yi-Der J Shen, MD
• Kermena Emeil Shenouda, RPH
• Salem Shihadeh, MD
• Keashava Shivashankar, MD
• SHP Belleville LLC
• Shrewsbury Health Adult Daycare
• Mustafa M Sidali, DO
• Ryan Murtaza Siddique, PA-C
• Michael Sideris

• Community/Retail Pharmacy in Belleville, NJ
• Providers in Belleville, 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 Jan 6, 2014; 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.