Organization Active NPI

Marlton Supermarket Inc

Doing business as Shoprite Pharmacy

  • Community/Retail Pharmacy
  • Marlton, NJ
National Provider Identifier
1871636894
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00475400 Issued in NJ
Legal business name
MARLTON SUPERMARKET INC
Doing business as
Shoprite Pharmacy
Practice address
307 W Route 70
Marlton, NJ 08053-1635
Phone
(856) 983-3665
Fax
(856) 810-0573
NPI assigned
Feb 15, 2007
Last updated
Sep 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 28RS00475400 NJ Primary

Addresses

Primary practice location

307 W Route 70
Marlton, NJ 08053-1635

Mailing address

PO Box 15169
Newark, NJ 07192-5169
Phone (856) 983-3665

Other identifiers 2

IdentifierTypeStateIssuer
2052552OtherPK
5404002MedicaidNJ

Other names 1

  • SHOPRITE PHARMACY Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930003449 NJ DME Supplier - PharmacyDME Supplier - Grocery Store 7618098179 Practice locations: Marlton, NJ
O20171227001882 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 7618098179 Practice locations: Marlton, NJ

National Provider Directory

National Provider Directory

Locations

2240 Route 70 W
Ste 17
Cherry Hill, NJ 08002

307 Route 70 W
Marlton, NJ 08053
Phone (856) 983-3665

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": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1871636894",
    "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": "856-983-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 W ROUTE 70",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531635",
            "telephone_number": "856-983-3665",
            "fax_number": "856-810-0573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLTON SUPERMARKET INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "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": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00475400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2052552",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5404002",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHOPRITE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marlton, NJ

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.
  • 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.