Patchogue Supermarkets LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

030921 Issued in NY

Legal business name

PATCHOGUE SUPERMARKETS LLC

Practice address

95 Sunrise Hwy W
Patchogue, NY 11772-1847

Phone

(631) 286-5030

Fax

(631) 286-5031

NPI assigned

Jun 6, 2011

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

(732) 521-8439

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Patchogue Supermarkets LLC Doing business as

Practitioners 1

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

• Brenda S Papile, RPH

  • Pharmacist
  • Patchogue, NY
  • NPI 1306111323
  NPD (past)

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1831483007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 15169",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07192",
            "telephone_number": "631-286-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 SUNRISE HWY W",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117721847",
            "telephone_number": "631-286-5030",
            "fax_number": "631-286-5031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATCHOGUE SUPERMARKETS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-06",
        "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": "NY",
            "license": "030921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03395631",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2132354",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patchogue Supermarkets LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patchogue Medical Group LLP
• Patchogue Medical Services, PC
• Patchogue Open MRI, PC
• Patchogue Pharmacy, Inc
• Patchogue Physical Therapy PC
• Patchogue Transportation Corp.
• Patchogue Urgent Care, P.C.
• Patchogue-Medford PT & Chiropractic PLLC
• Patchogue-Medford Ufsd
• Patchoque Vision Express LLC

• Community/Retail Pharmacy in Patchogue, NY
• Providers in Patchogue, NY by specialty
• Community/Retail Pharmacy in New York

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.