Shaws Supermarkets Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH50001472 Issued in ME

Legal business name

SHAWS SUPERMARKETS INC

Practice address

510 Alfred St
Biddeford, ME 04005-9432

Phone

(207) 286-9315

Fax

(207) 284-2135

NPI assigned

May 26, 2006

Organization subpart

No

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

Authorized official

Name

Demond Hawkins

Title

Third Party Manager

Phone

(208) 395-3905

Specialties & licenses 3

Addresses

Other identifiers 2

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Haggen Opco North LLC

  • Community/Retail Pharmacy
  • Grants Pass, OR
  • NPI 1063468064

  Member Of

  NPD member
• Safeway Inc

  • Community/Retail Pharmacy
  • Sunnyside, WA
  • NPI 1861421885

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516665600000",
    "number": "1932155462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 CULLERTON ST",
            "city": "FRANKLIN PARK",
            "state": "IL",
            "postal_code": "601312205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 ALFRED ST",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040059432",
            "telephone_number": "207-286-9315",
            "fax_number": "207-284-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWS SUPERMARKETS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2018-01-23",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "DEMOND",
        "authorized_official_title_or_position": "THIRD PARTY MANAGER",
        "authorized_official_telephone_number": "208-395-3905"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "ME",
            "license": "PH50001472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144820000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2037444",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Curtis Shannon, D.O.
• Alec Shappy
• Catherine A Share, MD
• Denise Cathy Shaw, CRNA
• Jo Shaw, LSW
• Michael Sheldon, P.T.
• Nicholas David Shellenberger, LCSW
• Miranda Leigh Shepherd-Bussiere, LCSW
• Howard B Sherman, M.D.
• Noreen M Sholl, MD

• Community/Retail Pharmacy in Biddeford, ME
• Providers in Biddeford, ME by specialty
• Community/Retail Pharmacy in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.