Active NPI
Village Supermarket of Maryland, LLC
Doing business as Shoprite Pharmacy of White Oak
- Community/Retail Pharmacy
- Silver Spring, MD
National Provider Identifier
1558655860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- VILLAGE SUPERMARKET OF MARYLAND, LLC
- Doing business as
- Shoprite Pharmacy of White Oak
- Practice address
- 12028 Cherry Hill Rd
Silver Spring, MD 20904-1985 - Phone
- (973) 467-2200
- NPI assigned
- Jun 3, 2011
- Last updated
- Aug 10, 2012
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | NU | Primary |
Addresses
Primary practice location
12028 Cherry Hill Rd
Silver Spring, MD 20904-1985
Mailing address
733 Mountain Ave
Springfield, NJ 07081-3223
Other names 1
- Shoprite Pharmacy of White Oak
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Pharmacist
- Stirling, NJ
- NPI 1669068565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307059200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1344556800000",
"number": "1558655860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "733 MOUNTAIN AVE",
"city": "SPRINGFIELD",
"state": "NJ",
"postal_code": "070813223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12028 CHERRY HILL RD",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209041985",
"telephone_number": "973-467-2200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VILLAGE SUPERMARKET OF MARYLAND, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-03",
"last_updated": "2012-08-10",
"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": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Shoprite Pharmacy of White Oak",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.