Kearny Shop-Rite Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00239800 Issued in NJ

Legal business name

KEARNY SHOP-RITE INC

Doing business as

Shoprite Pharmacy

Practice address

100 Passaic Ave
Kearny, NJ 07032-1140

Phone

(201) 991-3568

Fax

(201) 991-4272

NPI assigned

Aug 20, 2006

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

(372) 521-8439

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• SHOPRITE PHARMACY Doing business as

Locations

Practitioners 3

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

• Malcolm Granderson

  • Pharmacist
  • Kearny, NJ
  • NPI 1972109890
  NPD (past)
• Jeffrey I Kaufman, OD

  • Optometrist
  • Middletown, NJ
  • NPI 1578515011
  NPD (past)
• Diana Marie Sardo

  • Pharmacist
  • Kearny, NJ
  • NPI 1598361347
  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": "1418947200000",
    "number": "1780799551",
    "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": "201-991-3568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PASSAIC AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070321140",
            "telephone_number": "201-991-3568",
            "fax_number": "201-991-4272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEARNY SHOP-RITE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2014-12-19",
        "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": "372-521-8439"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00239800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4279603",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2054505",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHOPRITE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kearny Dental Associates
• Kearny Dental Care PC
• Kearny Health Dept
• Kearny Medical Associates PC
• Kearny Orthodontics LLC
• Kearny Vision Center OD PC
• Kearny Volunteer Emergency Rescue Squad (Kearny EMS)
• Kearny Wellness
• Daniel Kellner, PHARM D
• Edward Michael Killilea, M.D.

• Community/Retail Pharmacy in Kearny, NJ
• Providers in Kearny, 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 Dec 19, 2014; 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.