Shoprite of Perring Parkway LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SHOPRITE OF PERRING PARKWAY LLC

Doing business as

Shoprite of Perring Parkway

Practice address

2401 Cleanleigh Dr
Parkville, MD 21234-6808

Phone

(410) 420-8224

NPI assigned

Jan 11, 2012

Last updated

Feb 1, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carole Hojnoski

Title

Third Party Administrator

Phone

(732) 521-8439

Specialties & licenses 1

Addresses

Other names 1

• Shoprite of Perring Parkway Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

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.

• Dat Thanh Tran, B.S. PHARMACY

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Parkville, MD
  • NPI 1336317544
  NPD (past)

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1679843361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 CLEANLEIGH DR",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212346808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 CLEANLEIGH DR",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212346808",
            "telephone_number": "410-420-8224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOPRITE OF PERRING PARKWAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "HOJNOSKI",
        "authorized_official_first_name": "CAROLE",
        "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 of Perring Parkway",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• SFW Laboratories
• Colette Ann Shade
• Kimberly Shalenko
• Kimberly Sharpley
• Syed Kumail Shirazie, PHARMD
• Jeannie Shum, PHARMD
• Pinett Siek, PHARMD
• Randi Simon
• Crystal Simpson, M.D.
• Sinai Hospital of Baltimore Inc

• Community/Retail Pharmacy in Parkville, MD
• Providers in Parkville, MD by specialty
• Community/Retail Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.