Organization Active NPI

Janson Supermarkets LLC

  • Community/Retail Pharmacy
  • Hauppauge, NY
National Provider Identifier
1972618759
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
024074 Issued in NY
Legal business name
JANSON SUPERMARKETS LLC
Practice address
335 Nesconset Hwy
Hauppauge, NY 11788-2516
Phone
(631) 979-9121
Fax
(631) 979-9125
NPI assigned
Aug 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 024074 NY Primary

Addresses

Primary practice location

335 Nesconset Hwy
Hauppauge, NY 11788-2516

Mailing address

335 Nesconset Hwy
Hauppauge, NY 11788-2516
Phone (631) 979-9121

Other identifiers 2

IdentifierTypeStateIssuer
2059161OtherPK
01902941MedicaidNY

Other names 1

  • SHOPRITE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

335 Route 347
Hauppauge, NY 11788
Phone (631) 979-0110

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1972618759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 NESCONSET HWY",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882516",
            "telephone_number": "631-979-9121",
            "fax_number": "631-979-9125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 NESCONSET HWY",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882516",
            "telephone_number": "631-979-9121",
            "fax_number": "631-979-9125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANSON SUPERMARKETS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2025-09-19",
        "certification_date": "2019-12-23",
        "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": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "024074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2059161",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01902941",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHOPRITE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hauppauge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.