Inserra Supermarket Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

027167 Issued in NY

Legal business name

INSERRA SUPERMARKET INC

Practice address

56 Ramapo Road
Garnerville, NY 10923

Phone

(845) 786-3402

Fax

(845) 786-2839

NPI assigned

Aug 20, 2006

Organization subpart

No

Name

Melissa Figueroa Rivera

Title

Third Party Administrator

Phone

(732) 521-8439

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

• LML Supermarkets Incorporated

  • Pharmacy
  • Palisades Park, NJ
  • NPI 1902911787

  Member Of

  NPD member

• Shoprite Pharmacy Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 11, 2017.

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1780799569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21158",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100871158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 RAMAPO ROAD",
            "city": "GARNERVILLE",
            "state": "NY",
            "postal_code": "10923",
            "telephone_number": "845-786-3402",
            "fax_number": "845-786-2839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSERRA SUPERMARKET INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2017-05-11",
        "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": "NY",
            "license": "027167",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3342970",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shoprite Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia Hayes, MS MS LCSW-R
• Carole Gruberger Hayman, MS-CCC-SLP
• Bernard Francis Horan, R.N.
• Sherrilyn Mercedes Hozias, CCC-SLP
• Sheila K Huebner Rugg, CCCSLP
• Spencer Meyers Isen
• Milu Ann Jacob, LMSW
• Dieulira Philippe Jeanoute, FNP
• Joint Movements Physical Therapy
• Gloria Jusino-Montalvo

• All providers in Garnerville, NY
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.