Nutley Park Shop Rite Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00286400 Issued in NJ

Legal business name

NUTLEY PARK SHOP RITE INC

Practice address

437 Franklin Ave
Nutley, NJ 07110-2309

Phone

(973) 235-0821

Fax

(973) 667-5835

NPI assigned

Aug 20, 2006

Last updated

Nov 14, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melissa Figueora Rivera

Title

Third Party Administrator

Phone

(732) 521-8448

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

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

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.

• Maria Bruggemann

  • Pharmacist
  • Nutley, NJ
  • NPI 1902405053
  NPD
• Marlene Farnese

  • Pharmacist
  • Nutley, NJ
  • NPI 1487248993
  NPD (past)
• Rozann Vinci

  • Pharmacist
  • Nutley, NJ
  • NPI 1376139741
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510617600000",
    "number": "1942315718",
    "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": "437 FRANKLIN AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071102309",
            "telephone_number": "973-235-0821",
            "fax_number": "973-667-5835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTLEY PARK SHOP RITE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2017-11-14",
        "status": "A",
        "authorized_official_last_name": "FIGUEORA RIVERA",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "THIRD PARTY ADMINISTRATOR",
        "authorized_official_telephone_number": "732-521-8448"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00286400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3122013",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4322509",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nutley Family Dentists, LLC
• Nutley Family Service Bureau, Inc.
• Nutley Foot and Ankle PA
• Nutley Oral Surgery
• Nutley Orthopaedic Group, PA
• Nutley Public Schools
• Nutley Vascular Clinic
• Nutley Vision
• Nutley Vision LLC
• Nutley Volunteer Emergency Rescue Squad (Nutley Emergency & Rescue Squad)

• Community/Retail Pharmacy in Nutley, NJ
• Providers in Nutley, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.