NPIMap

Organization Active NPI

Ronetco Supermarkets, Inc

  • Community/Retail Pharmacy
  • Sparta, NJ
National Provider Identifier
1841859451
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
RONETCO SUPERMARKETS, INC
Practice address
18 North Village Boulevard
Sparta, NJ 07871
Phone
(973) 927-8300
NPI assigned
Jun 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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 Primary

Addresses

Primary practice location

18 North Village Boulevard
Sparta, NJ 07871

Mailing address

1070 US Highway 46 Ste 17
Ledgewood, NJ 07852-9735
Phone (973) 927-3000

Other identifiers 2

IdentifierTypeStateIssuer
3156482OtherNJNCPDP
0727636MedicaidNJ

Other names 1

  • ShopRite Pharmacy Department of Sparta Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100723000236 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 9830221092 8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Flanders, NJ; Byram Township, Stanhope, NJ; Sussex, NJ; Succasunna, NJ; Sparta, NJ; Netcong, NJ; Hackettstown, NJ; Franklin, NJ…
O20200317000496 NJ DME Supplier - Pharmacy 9830221092 Practice locations: Sparta, NJ

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 8

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
Shoprite of Sparta18 North Village Boulevard, Sparta, NJ 07871(973) 729-6337 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Ronetco Supermarket Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1559865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1841859451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 US HIGHWAY 46 STE 17",
            "city": "LEDGEWOOD",
            "state": "NJ",
            "postal_code": "078529735",
            "telephone_number": "973-927-3000",
            "fax_number": "973-927-4953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 NORTH VILLAGE BOULEVARD",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "07871",
            "telephone_number": "973-927-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONETCO SUPERMARKETS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-07",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3156482",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0727636",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ShopRite Pharmacy Department of Sparta",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sparta, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.