Shoprite Supermarkets, Inc
Organization Active NPI Community/Retail Pharmacy · Niskayuna, NY
NPI 1851679989 · NPPES record last updated Apr 9, 2012
Key facts
- NPI
- 1851679989
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- SHOPRITE SUPERMARKETS, INC
- Practice address
- 2333 Nott St E
Niskayuna, NY 12309-4302 - Phone
- (518) 243-4568
- Fax
- (518) 243-4570
- NPI assigned
- Jul 22, 2011
- Organization subpart
- No
Authorized official
- Name
- Melissa Figueroa Rivera
- Title
- Third Party Administrator
- Phone
- (732) 521-8439
Other NPIs on the same Medicare enrollment 15
Other NPIs with the same Medicare PAC ID 6
Practitioners 3
-
Catherine Marie Festine, PHARMD
-
Megan Ann Rogan, PHARMD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110110000400 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 9436278413 |
15 other NPIs on this enrollment Practice locations: Carmel, NY; Hudson, NY; Monticello, NY |
National Provider Directory
Locations
2333 Nott St E
Schenectady, NY 12309
Phone (518) 243-4567
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
2333 Nott St E
Niskayuna, NY 12309-4302
Mailing address
PO Box 29010
New York, NY 10087-9010
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5803451 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names
- Shoprite Pharmacy of Niskayuna
Other providers in Niskayuna, NY
- Sam'S Tutoring, LLC
- Denise Morett Schneider
- Holly Serrao
- Colleen Shamberger
- Rabia R Sheikh
- Ravinder Singh
- Brandon Paul Sinisi
- Sarah Mae Sinisi
- Maria Skane
- Eileen A Slavin
All providers in Niskayuna, NY · Community/Retail Pharmacy in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.