Active NPI
Rockaway Shoprite Associates Inc
Doing business as Shoprite Pharmacy
- Community/Retail Pharmacy
- Linden, NJ
National Provider Identifier
1700991585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 28RS00612200
- Legal business name
- ROCKAWAY SHOPRITE ASSOCIATES INC
- Doing business as
- Shoprite Pharmacy
- Practice address
- Aviation Plaza 637 W Edgar Rd
Linden, NJ 07036 - Phone
- (908) 523-1663
- Fax
- (908) 523-0891
- NPI assigned
- Aug 20, 2006
- Last updated
- Nov 17, 2014
- Organization subpart
- No
NPPES NPI Registry
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) 521-8448
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 28RS00612200 | NJ | Primary |
Addresses
Primary practice location
Aviation Plaza 637 W Edgar Rd
Linden, NJ 07036
Mailing address
PO Box 15169
Newark, NJ 07192-5169
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2055050 | Other | PK | |
| 8846707 | Medicaid | NJ |
Other names 1
- SHOPRITE PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930084001 | NJ | DME Supplier - Pharmacy | 3779603063 | Practice locations: Linden, NJ |
| O20110128000042 | NJ | Part B Supplier - Mass Immunization (Roster Biller Only) | 3779603063 |
2 other NPIs on this enrollment Practice locations: Dover, NJ; Linden, NJ; Perth Amboy, NJ |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Shoprite Pharmacy
- Community/Retail Pharmacy
- Dover, NJ
- NPI 1124133905
O20110128000042
-
dba Shoprite Pharmacy
- Community/Retail Pharmacy
- Perth Amboy, NJ
- NPI 1730294513
O20110128000042
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Pharmacist
- Linden, NJ
- NPI 1154599249
-
- Pharmacist
- Linden, NJ
- NPI 1134634801
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": "1416182400000",
"number": "1700991585",
"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": "AVIATION PLAZA 637 W EDGAR RD",
"city": "LINDEN",
"state": "NJ",
"postal_code": "07036",
"telephone_number": "908-523-1663",
"fax_number": "908-523-0891"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROCKAWAY SHOPRITE ASSOCIATES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-20",
"last_updated": "2014-11-17",
"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": "732-521-8448"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NJ",
"license": "28RS00612200",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2055050",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8846707",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SHOPRITE PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Linden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; 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.