NPIMap

Organization Active NPI

Saker Shoprites Inc

  • Community/Retail Pharmacy
  • Somerville, NJ
National Provider Identifier
1811283377
Registry record updated Aug 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00715000 Issued in NJ
Legal business name
SAKER SHOPRITES INC
Practice address
1 Davenport St
Somerville, NJ 08876-2101
Phone
(908) 203-0888
Fax
(908) 203-0377
NPI assigned
Jun 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2012

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 28RS00715000 NJ Primary

Addresses

Primary practice location

1 Davenport St
Somerville, NJ 08876-2101

Mailing address

922 Hithway #33
Building 6
Freehold, NJ 07728

Other identifiers 2

IdentifierTypeStateIssuer
0285714MedicaidNJ
3198187OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Shoprite Pharmacy of Somerville Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20111115000789 NJ DME Supplier - PharmacyDME Supplier - Grocery Store 1153525837 Practice locations: Somerville, NJ
O20151124000801 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 1153525837 Practice locations: Somerville, NJ

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 #4681 S Davenport St, Somerville, NJ 08876-2829(908) 231-7400 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Orthoses: Off-The-Shelf Does not accept assignmentParticipating since Mar 27, 2007

National Provider Directory

National Provider Directory
Tax ID family
Saker Shoprites Inc41 organizations share this tax ID, including this one

Other organizations with this tax ID 40

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

View all 40

Practitioners & affiliated clinicians

Practitioners 2

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": "1308787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344556800000",
    "number": "1811283377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 HITHWAY #33",
            "address_2": "BUILDING 6",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "07728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DAVENPORT ST",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088762101",
            "telephone_number": "908-203-0888",
            "fax_number": "908-203-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAKER SHOPRITES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-23",
        "last_updated": "2012-08-10",
        "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": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00715000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0285714",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3198187",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shoprite Pharmacy of Somerville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Somerville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; 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.