Five Star Supermarkets of New London Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PCY0001743 Issued in CT

Legal business name

FIVE STAR SUPERMARKETS OF NEW LONDON INC

Doing business as

SHOP RITE PHARMACY OF NEW LONDON

Practice address

351 N Frontage Rd
New London, CT 06320-2628

Phone

(860) 447-1194

Fax

(860) 444-9474

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Melissa Figueora Rivera

Title

Third Party Administrator

Phone

(732) 521-8439

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• SHOP RITE PHARMACY OF NEW LONDON Doing business as

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420675200000",
    "number": "1639268097",
    "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": "351 N FRONTAGE RD",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063202628",
            "telephone_number": "860-447-1194",
            "fax_number": "860-444-9474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR SUPERMARKETS OF NEW LONDON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2015-01-08",
        "status": "A",
        "authorized_official_last_name": "FIGUEORA RIVERA",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "THIRD PARTY ADMINISTRATOR",
        "authorized_official_telephone_number": "732-521-8439"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CT",
            "license": "PCY0001743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2002355",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004199966",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHOP RITE PHARMACY OF NEW LONDON",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samira Fisayo
• Uwe M Fischer, M.D.
• Kerrie Fisette, LCSW
• Whitney Charles Fisher
• Elizabeth A Fitch, RN
• Raecein Ann Flot
• FNP Medical Services LLC
• Krista Hollinshead Fogarty, RD
• Amy Foley, MA, BCBA, LBA - CT
• Nicole A Foley, WHNP

• Community/Retail Pharmacy in New London, CT
• Providers in New London, CT by specialty
• Community/Retail Pharmacy in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; 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.