Shoprite of Glen Burnie LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P05386 Issued in MD

Legal business name

SHOPRITE OF GLEN BURNIE LLC

Doing business as

Shoprite Pharmacy

Practice address

6716 Ritchie Hwy
Glen Burnie, MD 21061-2319

Phone

(443) 572-0604

Fax

(443) 572-0607

NPI assigned

Jul 27, 2010

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 1

Addresses

Other identifiers 2

Other names 1

• Shoprite Pharmacy 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.

• Jonathan H Geller, R.PH

  • Pharmacist
  • Baltimore, MD
  • NPI 1891253902
  NPD (past)

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345161600000",
    "number": "1972817492",
    "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": "6716 RITCHIE HWY",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210612319",
            "telephone_number": "443-572-0604",
            "fax_number": "443-572-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOPRITE OF GLEN BURNIE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-27",
        "last_updated": "2012-08-17",
        "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": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P05386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "441212500",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2135437",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shoprite Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather L Shinnamon, LCSW-C
• Drey Shipley, BCBA
• Shiva Priya LLC
• Morris M Shochet, MD
• Nancy Lynn Shockney, RN
• Louis A. Shpritz, M.D.
• Lata Shrestha Pradhan, APRN
• Pankaj K Shrivastava, PHARMACIST
• Samuel Lee Siang Shu, PHARMD
• Laura Shulgold, LGPC, NCC

• Community/Retail Pharmacy in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Community/Retail Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2012; 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.