Organization Active NPI

Ronetco Supermarkets, Inc

Doing business as ShopRite Pharmacy of Sussex

  • Community/Retail Pharmacy
  • Sussex, NJ
National Provider Identifier
1548950892
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
RONETCO SUPERMARKETS, INC
Doing business as
ShopRite Pharmacy of Sussex
Practice address
1 Wiebel PLZ
Sussex, NJ 07461-2222
Phone
(973) 927-8300
NPI assigned
May 10, 2023
Last updated
Oct 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Antonio Lasala
Title
Manager General Accounting
Phone
(973) 927-8300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1 Wiebel PLZ
Sussex, NJ 07461-2222

Mailing address

1070 US Highway 46 Ste 17
Ledgewood, NJ 07852-9701
Phone (973) 927-3000

Other names 1

  • ShopRite Pharmacy of Sussex Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100723000236 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 9830221092 8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Flanders, NJ; Byram Township, Stanhope, NJ; Sussex, NJ; Succasunna, NJ; Sparta, NJ; Netcong, NJ; Hackettstown, NJ; Franklin, NJ…
O20250715001108 NJ DME Supplier - PharmacyDME Supplier - Grocery Store 9830221092 Practice locations: Sussex, NJ

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Shoprite Pharmacy of Sussex1 Wiebel PLZ, Sussex, NJ 07461-2222(973) 875-1000 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Ronetco Supermarket Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

90 Bartley Rd
Flanders, NJ 07836
Phone (973) 252-1479

270 State Rt 23
Franklin, NJ 07416
Phone (862) 397-9073

270 State Rt 23
#F
Franklin, NJ 07416
Phone (973) 827-1806

75 US Highway 46
Netcong, NJ 07857
Phone (973) 347-0137

125 Water St
Newton, NJ 07860
Phone (973) 579-1119

281 State Route 10 E
Ste 24
Succasunna, NJ 07876
Phone (973) 584-4466

1 Wiebel Plz
Sussex, NJ 07461
Phone (973) 875-1000

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1548950892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 US HIGHWAY 46 STE 17",
            "city": "LEDGEWOOD",
            "state": "NJ",
            "postal_code": "078529701",
            "telephone_number": "973-927-3000",
            "fax_number": "973-927-4953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WIEBEL PLZ",
            "city": "SUSSEX",
            "state": "NJ",
            "postal_code": "074612222",
            "telephone_number": "973-927-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONETCO SUPERMARKETS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-10",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "LASALA",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "MANAGER GENERAL ACCOUNTING",
        "authorized_official_telephone_number": "973-927-8300"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ShopRite Pharmacy of Sussex",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sussex, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.