Organization Active NPI

Hamden Markets LLC

Doing business as Shoprite Pharmacy

  • Community/Retail Pharmacy
  • Hamden, CT
National Provider Identifier
1578880654
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PCY0002178 Issued in CT
Legal business name
HAMDEN MARKETS LLC
Doing business as
Shoprite Pharmacy
Practice address
2100 Dixwell Ave
Hamden, CT 06514-2406
Phone
(203) 230-8019
Fax
(203) 230-8240
NPI assigned
Apr 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PCY0002178 CT Primary

Addresses

Primary practice location

2100 Dixwell Ave
Hamden, CT 06514-2406

Mailing address

P.O. Box 15169
Newark, NJ 07192
Phone (203) 230-8019

Other identifiers 2

IdentifierTypeStateIssuer
008017645MedicaidCT
2125152OtherPK

Other names 1

  • Shoprite Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20101116001014 CT Part B Supplier - Mass Immunization (Roster Biller Only) 4880889864 Practice locations: Hamden, CT
O20110502000171 CT DME Supplier - PharmacyDME Supplier - Grocery Store 4880889864 Practice locations: Hamden, CT

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
Hamden Markets LLC2100 Dixwell Ave, Hamden, CT 06514-240620323080192406 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Nebulizer Equipment and/or Supplies Accepts assignmentParticipating since Jul 9, 2010

National Provider Directory

National Provider Directory

Locations

2100 Dixwell Ave
Hamden, CT 06514
Phone (203) 230-8019

NPI Registry JSON

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1578880654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 15169",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07192",
            "telephone_number": "203-230-8019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 DIXWELL AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065142406",
            "telephone_number": "203-230-8019",
            "fax_number": "203-230-8240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMDEN MARKETS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-28",
        "last_updated": "2025-09-19",
        "certification_date": "2022-07-18",
        "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": "CT",
            "license": "PCY0002178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008017645",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2125152",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shoprite Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hamden, CT

Sources for this page

  • 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.