Shoprite Supermarkets, Inc
Organization Active NPI Community/Retail Pharmacy · New Rochelle, NY
NPI 1891024790 · NPPES record last updated Jun 24, 2010
Key facts
- NPI
- 1891024790
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- SHOPRITE SUPERMARKETS, INC
- Practice address
- 8 Joyce Rd
New Rochelle, NY 10801-4320 - Phone
- (914) 740-9767
- Fax
- (914) 740-9769
- NPI assigned
- Dec 24, 2009
- 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
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 This NPI is an additional NPI on the enrollment Practice locations: Carmel, NY; Hudson, NY; Monticello, NY |
National Provider Directory
Locations
8 Joyce Rd
New Rochelle, NY 10801
Phone (914) 740-9764
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
8 Joyce Rd
New Rochelle, NY 10801-4320
Mailing address
PO Box 29010
New York, NY 10087-9010
Phone (914) 740-9767
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03196930 | Medicaid | NY |
Other names
- Shoprite Pharmacy
Other providers in New Rochelle, NY
- Michael Sherman
- Victoria Sherman
- Emily J Sheu
- Shyam Chandru Shivdasani
- John Jude Shlimoun
- Darshana Shrestha
- Rayana Shrestha
- Shukranta Shrestha
- Swikriti Shrestha
- Shukla Medical Services PLLC
All providers in New Rochelle, 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 Jun 24, 2010. 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.