Shoprite Supermarkets Inc.
Organization Active NPI Community/Retail Pharmacy · Hudson, NY
NPI 1508340555 · NPPES record last updated Sep 17, 2018
Key facts
- NPI
- 1508340555
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- SHOPRITE SUPERMARKETS INC.
- Practice address
- 351 Fairview Ave
Hudson, NY 12534-1258 - Phone
- (845) 298-0097
- NPI assigned
- Sep 17, 2018
- Organization subpart
- No
Authorized official
- Name
- Melissa Figueroa Rivera
- Title
- Third Party Administrator
- Phone
- (732) 521-8439
Other NPIs on the same Medicare enrollment 15
Other NPIs with the same Medicare PAC ID 6
Corporate family (same tax ID) 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110110000400 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 9436278413 |
15 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Carmel, NY; Hudson, NY; Monticello, NY |
| O20181227000216 | NY | DME Supplier - Pharmacy | 9436278413 | Practice locations: Hudson, NY |
National Provider Directory
- Tax ID family
- Shoprite Pharmacy
Locations
351 Fairview Ave
Hudson, NY 12534
Phone (518) 283-6111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
351 Fairview Ave
Hudson, NY 12534-1258
Mailing address
PO Box 29010
New York, NY 10087-9010
Other names
- ShopRite Pharmacy
Other providers in Hudson, NY
- Rachna Jagdish Shah
- Shay Markovitch Dentistry, PLLC
- Susan R. Sheldon
- Devan Sheth
- Julia Anne Shield
- Renee A Sieczkowski
- Connie J Signor
- Kelly J Sink
- Edward Joseph Sisk
- Sabrena Ann Smiel
All providers in Hudson, NY · Community/Retail Pharmacy in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2018. 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.