Organization Active NPI

McMenamin Family Shoprite Inc.

  • Community/Retail Pharmacy
  • Philadelphia, PA
National Provider Identifier
1750533725
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP481881 Issued in PA
Legal business name
MCMENAMIN FAMILY SHOPRITE INC.
Practice address
9910 Frankford Ave
Ste 240
Philadelphia, PA 19114-1900
Phone
(215) 637-1555
Fax
(215) 824-1765
NPI assigned
Oct 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PP481881 PA Primary

Addresses

Primary practice location

9910 Frankford Ave
Ste 240
Philadelphia, PA 19114-1900

Mailing address

PO Box 15169
Newark, NJ 07192-5169
Phone (215) 824-1830

Other identifiers 2

IdentifierTypeStateIssuer
2117542OtherPK
1022704290001MedicaidPA

Other names 1

  • Shoprite Pharmacy of Morrell Plaza Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20101111001244 PA Part B Supplier - Mass Immunization (Roster Biller Only) 0446443485 Practice locations: Philadelphia, PA
O20110615000745 PA DME Supplier - PharmacyDME Supplier - Grocery Store 0446443485 Practice locations: Philadelphia, PA

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
McMenamin Family Shoprite Inc9910 Frankford Ave, Philadelphia, PA 19114-1900(215) 637-1555 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) Accepts assignmentParticipating since Jun 18, 2010

National Provider Directory

National Provider Directory

Locations

9910 Frankford Ave
Ste 240
Philadelphia, PA 19114
Phone (215) 637-1555

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1750533725",
    "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",
            "telephone_number": "215-824-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9910 FRANKFORD AVE",
            "address_2": "STE 240",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141900",
            "telephone_number": "215-637-1555",
            "fax_number": "215-824-1765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCMENAMIN FAMILY SHOPRITE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2025-09-19",
        "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": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP481881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2117542",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022704290001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shoprite Pharmacy of Morrell Plaza",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shoprite Pharmacy of Morrell Plaza",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.