Rockaway Shoprite Associates Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00523700 Issued in NJ

Legal business name

ROCKAWAY SHOPRITE ASSOCIATES INC

Doing business as

Shoprite Pharmacy

Practice address

365 Convery Blvd
Perth Amboy, NJ 08861-3741

Phone

(732) 442-4333

Fax

(732) 442-2561

NPI assigned

Aug 20, 2006

Last updated

Jun 28, 2011By 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 2

Addresses

Other identifiers 2

Other names 1

• SHOPRITE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

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

• Rockaway Shoprite Associates Inc

  dba Shoprite Pharmacy

  • Community/Retail Pharmacy
  • Dover, NJ
  • NPI 1124133905

  O20110128000042

  Same enrollment
• Rockaway Shoprite Associates Inc

  dba Shoprite Pharmacy

  • Community/Retail Pharmacy
  • Linden, NJ
  • NPI 1700991585

  O20110128000042

  Same enrollment

Locations

Practitioners 3

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.

• Radharani Amin

  • Pharmacist
  • Perth Amboy, NJ
  • NPI 1447656558
  NPD (past)
• Keren Goldie Gal

  • Pharmacist
  • Perth Amboy, NJ
  • NPI 1154040152
  NPD (past)
• Nicholas Prospero

  • Pharmacist
  • Perth Amboy, NJ
  • NPI 1538565619
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309219200000",
    "number": "1730294513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 CONVERY BLVD",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088613741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 CONVERY BLVD",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088613741",
            "telephone_number": "732-442-4333",
            "fax_number": "732-442-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKAWAY SHOPRITE ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2011-06-28",
        "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": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00523700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3137432",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6787509",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHOPRITE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Rivera-Rodriguez, FNP-BC
• Daniel Alexander Rivera, APN
• Numair Mohammad Rizwan, MD
• RL Pharma LLC (Amboy Pharmacy)
• RNR Behavioral Services
• Maria Fernanda Rodas, LSW
• Racquel Rodney, MA PSYCHOLOGY
• Rodolfo Maldonado MD LLC
• Amarilis Rodriguez
• Liliana Y Rodriguez, LPN

• Community/Retail Pharmacy in Perth Amboy, NJ
• Providers in Perth Amboy, 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 Jun 28, 2011; 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.