Buonadonna Shoprite LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

026563 Issued in NY

Legal business name

BUONADONNA SHOPRITE LLC

Practice address

1905 Sunrise Hwy
Bay Shore, NY 11706-6017

Phone

(631) 666-9377

Fax

(631) 666-9330

NPI assigned

Aug 20, 2006

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

• SHOPRITE OF BAYSHORE Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• Buonadonna'S Shoprite LLC

  • Community/Retail Pharmacy
  • West Babylon, NY
  • NPI 1598870370

  O20130219000213

  Same enrollment

Locations

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1871608653",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 SUNRISE HWY",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117066017",
            "telephone_number": "631-666-9377",
            "fax_number": "631-666-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUONADONNA SHOPRITE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2012-10-05",
        "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": "026563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02534343",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3335456",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHOPRITE OF BAYSHORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allison Dee Buckman
• Jacklyn Nicole Buddenhagen, MA.,CF-SLP
• Megan Bulanowski, MD
• Barbara Bumstead, NP-C, MSCN
• Deshauna Bunbury
• Alexa A Buongiorno
• Joseph T Burbige, PT
• Shinelle Burgess
• Ilsi Pamela Burgos
• Caitlin Burke, LMSW

• Community/Retail Pharmacy in Bay Shore, NY
• Providers in Bay Shore, 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 Oct 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.