NPIMap

Organization Active NPI

Saker Shoprites Inc

Doing business as ShopRite Pharmacy #619

  • Community/Retail Pharmacy
  • Waretown, NJ
National Provider Identifier
1841464674
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00679800 Issued in NJ
Legal business name
SAKER SHOPRITES INC
Doing business as
ShopRite Pharmacy #619
Practice address
501 Route 9 Ste 100
Waretown, NJ 08758-1751
Phone
(609) 971-6002
Fax
(609) 971-0257
NPI assigned
Apr 14, 2008
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 28RS00679800 NJ Primary

Addresses

Primary practice location

501 Route 9 Ste 100
Waretown, NJ 08758-1751

Mailing address

10 Centerville Rd
Holmdel, NJ 07733-1103
Phone (609) 971-6002

Other identifiers 1

IdentifierTypeStateIssuer
2056257OtherPK

Other names 1

  • ShopRite Pharmacy #619 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…
O20220304001305 NJ DME Supplier - PharmacyDME Supplier - Grocery Store 1153525837 Practice locations: Waretown, NJ

Other NPIs on the same Medicare enrollment 9

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

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
Saker Shoprites Inc501 Route 9, Waretown, NJ 08758-1751(609) 971-6002 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
Shoprite Pharmacy 29941 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

501 Route 9
Ste 100
Waretown, NJ 08758
Phone (609) 971-6002

Practitioners & affiliated clinicians

Practitioners 3

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": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1841464674",
    "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": "609-971-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 ROUTE 9 STE 100",
            "city": "WARETOWN",
            "state": "NJ",
            "postal_code": "087581751",
            "telephone_number": "609-971-6002",
            "fax_number": "609-971-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAKER SHOPRITES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "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": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00679800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2056257",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ShopRite Pharmacy #619",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waretown, 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.
  • 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.