NPIMap

Organization Active NPI

Village Super Market of NJ LP

Doing business as Shoprite Pharmacy of Bernardsville

  • Community/Retail Pharmacy
  • Bernardsville, NJ
National Provider Identifier
1740395524
Registry record updated Aug 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
VILLAGE SUPER MARKET OF NJ LP
Doing business as
Shoprite Pharmacy of Bernardsville
Practice address
93 Morristown Rd RT 202
Bernardsville, NJ 07924-2337
Phone
(908) 766-4409
NPI assigned
Aug 20, 2006
Last updated
Aug 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2013

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) 521-8448

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X RS004637 NJ
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

93 Morristown Rd RT 202
Bernardsville, NJ 07924-2337

Mailing address

733 Mountain Ave
Springfield, NJ 07081-3223

Other identifiers 2

IdentifierTypeStateIssuer
3133117OtherOTHER ID NUMBER-COMMERCIAL NUMBER
5113407MedicaidNJ

Other names 1

  • Shoprite Pharmacy of Bernardsville Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930078989 NJ DME Supplier - PharmacyDME Supplier - Grocery Store 3779604970 Practice locations: Bernardsville, NJ
O20111111000319 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 3779604970 22 other NPIs on this enrollment
Practice locations: Washington, NJ; West Orange, NJ; Vineland, NJ; Union, NJ; Stirling, NJ; Somerset, NJ; Somers Point, NJ; Rio Grande, NJ…

Other NPIs with the same Medicare PAC ID 18

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 18

Other NPIs on the same Medicare enrollment 22

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

View all 22

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 of Bernardsville93 Morristown Rd RT 202, Bernardsville, NJ 07924-2337(908) 766-4409 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Orthoses: Off-The-Shelf|Nebulizer Equipment and/or Supplies Accepts assignmentParticipating since Aug 11, 2011

National Provider Directory

National Provider Directory
Tax ID family
Shakoor Supermarkets Inc17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

Locations

93 Morristown Rd
Bernardsville, NJ 07924
Phone (908) 766-4409

93 Morristown Rd
#202
Bernardsville, NJ 07924
Phone (908) 766-4409

178 E Hanover Ave
Cedar Knolls, NJ 07927
Phone (973) 539-3907

533 Martin Luther King
East Orange, NJ 07018
Phone (973) 647-8822

3003 English Creek Ave
Ste F1
Egg Harbor Township, NJ 08234
Phone (609) 545-0660

865 W Grand St
Elizabeth, NJ 07202
Phone (908) 558-0049

600 Schulmeister Rd
Old Bridge, NJ 08857
Phone (732) 727-3534

2401 US Highway 22 W
Union, NJ 07083
Phone (908) 378-1821

2 Club House Dr
Washington, NJ 07882
Phone (908) 835-0781

1 Rooney Cir
West Orange, NJ 07052
Phone (973) 325-2136

Practitioners & affiliated clinicians

Practitioners 36

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.

View all 36

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": "1376006400000",
    "number": "1740395524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 MOUNTAIN AVE",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070813223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 MORRISTOWN RD RT 202",
            "city": "BERNARDSVILLE",
            "state": "NJ",
            "postal_code": "079242337",
            "telephone_number": "908-766-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE SUPER MARKET OF NJ LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2013-08-09",
        "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": "732-521-8448"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "RS004637",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3133117",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5113407",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shoprite Pharmacy of Bernardsville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bernardsville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; 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.