Organization Active NPI

Shaws Supermarkets Inc

Doing business as Osco Pharmacy

  • Community/Retail Pharmacy
  • Warwick, RI
National Provider Identifier
1740236744
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHA00352 Issued in RI
Legal business name
SHAWS SUPERMARKETS INC
Doing business as
Osco Pharmacy
Practice address
320 Warwick Ave
Warwick, RI 02888-1300
Phone
(401) 785-3987
Fax
(401) 785-4608
NPI assigned
May 25, 2006
Last updated
Dec 7, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
SUPERVALU INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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

Authorized official

Name
Mr. Lorenzo Torres III
Title
New Store Enrollments
Phone
(847) 916-4463

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PHA00352 RI Primary

Addresses

Primary practice location

320 Warwick Ave
Warwick, RI 02888-1300

Mailing address

320 Warwick Ave
Warwick, RI 02888-1300

Other identifiers 2

IdentifierTypeStateIssuer
4106010OtherOTHER ID NUMBER-COMMERCIAL NUMBER
SS29955MedicaidRI

Other names 1

  • OSCO PHARMACY Doing business as

National Provider Directory

National Provider Directory
Part of
Supervalu Inc

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1740236744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 WARWICK AVE",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028881300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 WARWICK AVE",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028881300",
            "telephone_number": "401-785-3987",
            "fax_number": "401-785-4608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWS SUPERMARKETS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUPERVALU INC",
        "enumeration_date": "2006-05-25",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "LORENZO",
        "authorized_official_title_or_position": "NEW STORE ENROLLMENTS",
        "authorized_official_telephone_number": "847-916-4463",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "RI",
            "license": "PHA00352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4106010",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SS29955",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OSCO PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; 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.