Collins Markets LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP481441 Issued in PA

Legal business name

COLLINS MARKETS LLC

Doing business as

Shoprite Pharmacy of Eddystone

Practice address

1568 Chester Pike
Unit B1
Eddystone, PA 19022-1338

Phone

(610) 471-0360

Fax

(610) 471-0362

NPI assigned

Aug 20, 2006

Last updated

Aug 24, 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 Figueroa Rivera

Title

Third Party Administrator

Phone

(732) 521-8439

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• SHOPRITE PHARMACY OF EDDYSTONE Doing business as

Locations

Practitioners 1

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.

• Joseph Francis Kerrigan Jr.

  • Pharmacist
  • Eddystone, PA
  • NPI 1366611147
  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": "1503532800000",
    "number": "1952416745",
    "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": "07192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1568 CHESTER PIKE",
            "address_2": "UNIT B1",
            "city": "EDDYSTONE",
            "state": "PA",
            "postal_code": "190221338",
            "telephone_number": "610-471-0360",
            "fax_number": "610-471-0362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLINS MARKETS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2017-08-24",
        "status": "A",
        "authorized_official_last_name": "FIGUEROA RIVERA",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "THIRD PARTY ADMINISTRATOR",
        "authorized_official_telephone_number": "732-521-8439"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP481441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013206150001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2087196",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHOPRITE PHARMACY OF EDDYSTONE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Bauman, RN
• Blythe Wellness
• Brittany Ann Blythe, MA,NCC,LPC
• Alesha M. Bueno, M.S.
• Kalika Colbert, RN
• Community Transit of Delaware County
• County of Delaware
• Keshla Marie Cruz
• Chabreena Jamiel Dixon, MS
• Eddystone Community Pharmacy

• Community/Retail Pharmacy in Eddystone, PA
• Providers in Eddystone, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2017; 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.