Active NPI
Richard J. McMenamin Inc.
- Community/Retail Pharmacy
- Philadelphia, PA
National Provider Identifier
1861507642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PP413919L
- Legal business name
- RICHARD J. MCMENAMIN INC.
- Doing business as
- SHOPRITE PHARMACY
- Practice address
- 11000 Roosevelt Blvd
Philadelphia, PA 19116-3961 - Phone
- (215) 673-1210
- Fax
- (215) 673-4209
- NPI assigned
- Aug 20, 2006
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PP413919L | PA | Primary |
Addresses
Primary practice location
11000 Roosevelt Blvd
Philadelphia, PA 19116-3961
Mailing address
PO Box 15169
Newark, NJ 07192-5169
Phone (215) 673-1210
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2086021 | Other | PK | |
| 000186814 | Medicaid | PA |
Other names 1
- SHOPRITE PHARMACY
National Provider Directory
National Provider DirectoryLocations
11000 Roosevelt Blvd
Unit 340
Philadelphia, PA 19116
Phone (215) 673-1210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758240000000",
"number": "1861507642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15169",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071925169",
"telephone_number": "215-673-1210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11000 ROOSEVELT BLVD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191163961",
"telephone_number": "215-673-1210",
"fax_number": "215-673-4209"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD J. MCMENAMIN INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-20",
"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": "PA",
"license": "PP413919L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2086021",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000186814",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SHOPRITE PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Philadelphia, PA
Sources for this page
- 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.