NPIMap

Organization Active NPI

Price Chopper Inc

Doing business as Price Chopper Pharmacy

  • Community/Retail Pharmacy
  • Waterbury, CT
National Provider Identifier
1881707271
Registry record updated Mar 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PCY1831 Issued in CT
Legal business name
PRICE CHOPPER INC
Doing business as
Price Chopper Pharmacy
Practice address
943 Wolcott St
Waterbury, CT 06705-1301
Phone
(203) 591-8468
Fax
(203) 591-8638
NPI assigned
Aug 17, 2006
Last updated
Mar 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Vincent A Mainella, RPH
Title
Pharmacy Third Party Administrator
Phone
(518) 379-1618

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PCY1831 CT Primary

Addresses

Primary practice location

943 Wolcott St
Waterbury, CT 06705-1301

Mailing address

521 Duanesburg Rd
Schenectady, NY 12306-1054
Phone (518) 379-1618

Other identifiers 1

IdentifierTypeStateIssuer
004234895MedicaidCT

Other names 1

  • Price Chopper Pharmacy Doing business as

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
Stop & Shop Pharmacy943 Wolcott St, Waterbury, CT 06705-1364(203) 755-9538 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Ostomy Supplies|Urological Supplies|Surgical Dressings Accepts assignmentParticipating since Sep 1, 2009

National Provider Directory

National Provider Directory
Tax ID family
Price Chopper Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236643200000",
    "number": "1881707271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 DUANESBURG RD",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123061054",
            "telephone_number": "518-379-1618",
            "fax_number": "518-356-6978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 WOLCOTT ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067051301",
            "telephone_number": "203-591-8468",
            "fax_number": "203-591-8638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRICE CHOPPER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2009-03-10",
        "status": "A",
        "authorized_official_last_name": "MAINELLA",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHARMACY THIRD PARTY ADMINISTRATOR",
        "authorized_official_telephone_number": "518-379-1618",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CT",
            "license": "PCY1831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004234895",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Price Chopper Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.