Wakefern Food Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

WAKEFERN FOOD CORP

Doing business as

Shoprite Pharmacy

Practice address

5000 Riverside Dr
Keasbey, NJ 08832-1209

Phone

(732) 521-8439

NPI assigned

May 14, 2014

Last updated

May 14, 2014By 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

Melissa Figueroa Rivera

Title

Third Party Administrator

Phone

(732) 521-8439

Specialties & licenses 1

Addresses

Other names 1

• Shoprite Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400025600000",
    "number": "1699186403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 DAVIDSONS MILL RD",
            "city": "JAMESBURG",
            "state": "NJ",
            "postal_code": "088313014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 RIVERSIDE DR",
            "city": "KEASBEY",
            "state": "NJ",
            "postal_code": "088321209",
            "telephone_number": "732-521-8439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKEFERN FOOD CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-14",
        "last_updated": "2014-05-14",
        "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",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• New Jersey Institute for Disabilities, Inc
• New Jersey Institute for Disabilities, Inc
• New Jersey Institute for Disabilities, Inc
• New Jersey Institute for Disabilities, Inc
• Karole Potts, RN
• Mary Wise

• Community/Retail Pharmacy in Keasbey, NJ
• Providers in Keasbey, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; 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.