NPIMap

Organization Active NPI

Saker Shoprites Inc

Doing business as Shoprite Pharmacy Dept #638

  • Pharmacy
  • Wall Township, NJ
National Provider Identifier
1689789455
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
RS002169 Issued in NJ
Legal business name
SAKER SHOPRITES INC
Doing business as
Shoprite Pharmacy Dept #638
Practice address
1732 Highway 35
Wall Township, NJ 07719-3440
Phone
(732) 681-0550
Fax
(732) 681-5463
NPI assigned
Aug 20, 2006
Last updated
Jun 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

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 RS002169 NJ Primary
Community/Retail Pharmacy 3336C0003X NU

Addresses

Primary practice location

1732 Highway 35
Wall Township, NJ 07719-3440

Mailing address

10 Centerville Rd
Holmdel, NJ 07733-1103

Other identifiers 3

IdentifierTypeStateIssuer
4268806MedicaidNJ
4268814OtherNJMEDICAID DME
3116488OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • Shoprite Pharmacy Dept #638 Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930068230 NJ DME Supplier - PharmacyDME Supplier - Grocery Store 1153525837 Practice locations: Wall Township, NJ
O20101111001307 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 1153525837 28 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Neptune, NJ; Woodbridge, NJ; West Long Branch, NJ; Wall, NJ; Trenton, NJ; South Plainfield, NJ; Somerville, NJ; Shrewsbury, NJ…

Other NPIs on the same Medicare enrollment 28

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

View all 28

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 #6381732 Highway 35, Wall Township, NJ 07719-3440(732) 681-0550 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Orthoses: Off-The-Shelf Does not accept assignmentParticipating since Mar 27, 2007

National Provider Directory

National Provider Directory
Tax ID family
Shoprite Pharmacy 29941 organizations share this tax ID, including this one

Other organizations with this tax ID 40

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

View all 40

Locations

1801 State Route 35
Wall Township, NJ 07719
Phone (732) 681-0550

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623974400000",
    "number": "1689789455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CENTERVILLE RD",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1732 HIGHWAY 35",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077193440",
            "telephone_number": "732-681-0550",
            "fax_number": "732-681-5463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAKER SHOPRITES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "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": "NJ",
            "license": "RS002169",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4268806",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "4268814",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3116488",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shoprite Pharmacy Dept #638",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wall Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; 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.