Shaws Supermarkets Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

038.0093615 Issued in VT

Legal business name

SHAWS SUPERMARKETS INC

Doing business as

Shaws Pharmacy #0649

Practice address

820 Waterbury Stowe Rd
Waterbury, VT 05676

Phone

(802) 241-4115

Fax

(802) 244-7994

NPI assigned

May 26, 2006

Last updated

Jul 10, 2024By 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

Kathy Giannakopoulos

Title

Enrollment Manager

Phone

(208) 395-3932

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Shaws Pharmacy #0649 Doing business as

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Tax ID family

Shaws Supermarkets Inc66 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 5

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Shaws Supermarkets Inc

  dba Shaws Pharmacy #0117

  • Community/Retail Pharmacy
  • Burlington, VT
  • NPI 1023065588
  NPD tax ID
• Shaws Supermarkets Inc

  dba Shaws Pharmacy #2518

  • Community/Retail Pharmacy
  • Williston, VT
  • NPI 1215983721
  NPD tax ID
• Shaws Supermarkets Inc

  dba Osco Pharmacy #2527

  • Community/Retail Pharmacy
  • Ludlow, VT
  • NPI 1255182622
  NPD tax ID
• Shaws Supermarkets Inc

  dba Shaws Pharmacy #0615

  • Community/Retail Pharmacy
  • Colchester, VT
  • NPI 1306892815
  NPD tax ID
• Shaws Supermarkets Inc

  dba Shaws Pharmacy #0616

  • Community/Retail Pharmacy
  • Berlin, VT
  • NPI 1598705782
  NPD tax ID

Member of 2

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

• Albertsons LLC

  dba Sav-On Pharmacy #3174

  • Community/Retail Pharmacy
  • Ammon, ID
  • NPI 1922055383

  Member Of

  NPD member
• Safeway Inc

  dba Safeway Phamracy #4837

  • Community/Retail Pharmacy
  • District Heights, MD
  • NPI 1588600191

  Member Of

  NPD member

Locations

Practitioners 5

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.

• Nicholas Ireland

  • Pharmacist
  • Waterbury, VT
  • NPI 1861202392
  NPD (past)
• Yougyeoung Jho

  • Pharmacist
  • Waterbury, VT
  • NPI 1851276703
  NPD (past)
• Stephan Kanga, PHARMD, R.PH.

  • Pharmacist
  • Burlington, VT
  • NPI 1700533825
  NPD (past)
• Redeat Mekuria

  • Pharmacist
  • Waterbury, VT
  • NPI 1881516102
  NPD (past)
• Thomas Albin Sturm, R.PH.

  • Pharmacotherapy Pharmacist
  • Waterbury, VT
  • NPI 1346445988
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1952357329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E PARKCENTER BLVD",
            "address_2": "MAILSTOP SEC2-B",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837063940",
            "telephone_number": "208-395-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 WATERBURY STOWE RD",
            "city": "WATERBURY",
            "state": "VT",
            "postal_code": "05676",
            "telephone_number": "802-241-4115",
            "fax_number": "802-244-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWS SUPERMARKETS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "GIANNAKOPOULOS",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "ENROLLMENT  MANAGER",
        "authorized_official_telephone_number": "208-395-3932"
    },
    "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": "VT",
            "license": "038.0093615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012365",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2101732",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shaws Pharmacy #0649",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Rufenacht, MA
• Sandra K Howell PLLC (Sandra K Howell Psychologist Master)
• Keith Heinz Schaller, D.C.
• Arthur William Seelig III, MSW, MS
• Puja Senning, MS
• Heather Amber Shlosser, FNP
• Thomas A Simpatico, M.D.
• Gillian Lee Skovron, LICSW
• Chloe Smith, LICSW
• Sports & Family Chiropractic LTD

• Community/Retail Pharmacy in Waterbury, VT
• Providers in Waterbury, VT by specialty
• Community/Retail Pharmacy in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.