NPIMap

Organization Active NPI

Saker Shoprites Inc

Doing business as ShopRite Pharmacy #609

  • Community/Retail Pharmacy
  • Lanoka Harbor, NJ
National Provider Identifier
1831224815
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
RS002992 Issued in NJ
Legal business name
SAKER SHOPRITES INC
Doing business as
ShopRite Pharmacy #609
Practice address
344 Route 9
Lanoka Harbor, NJ 08734-2830
Phone
(609) 693-7000
Fax
(609) 693-3938
NPI assigned
Feb 22, 2007
Last updated
Dec 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Paul E FellerNPI 1780863845
Title
Chief Privacy and Security Officer
Phone
(732) 294-2278

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X RS002992 NJ Primary

Addresses

Primary practice location

344 Route 9
Lanoka Harbor, NJ 08734-2830

Mailing address

10 Centerville Rd
Holmdel, NJ 07733-1103
Phone (609) 693-7000

Other identifiers 2

IdentifierTypeStateIssuer
3105839OtherNJNCPDP
4317700MedicaidNJ

Other names 1

  • ShopRite Pharmacy #609 Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150105000877 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 1153525837 9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Toms River, NJ; Waretown, NJ; Skillman, NJ; Monmouth Junction, NJ; Manchester, NJ; Manahawkin, NJ; Lanoka Harbor, NJ; Jackson, NJ…
O20220308001401 NJ DME Supplier - PharmacyDME Supplier - Grocery Store 1153525837 Practice locations: Lanoka Harbor, NJ

Other NPIs on the same Medicare enrollment 9

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

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

Locations

344 US Highway 9
Lanoka Harbor, NJ 08734
Phone (609) 693-1121

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1831224815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CENTERVILLE RD",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331103",
            "telephone_number": "609-693-7000",
            "fax_number": "609-693-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 ROUTE 9",
            "city": "LANOKA HARBOR",
            "state": "NJ",
            "postal_code": "087342830",
            "telephone_number": "609-693-7000",
            "fax_number": "609-693-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAKER SHOPRITES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "FELLER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF PRIVACY AND SECURITY OFFICER",
        "authorized_official_telephone_number": "732-294-2278"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "RS002992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3105839",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4317700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ShopRite Pharmacy #609",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lanoka Harbor, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.