STOP AND SHOP SUPERMARKET CO LLC (NPI# 1003841107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003841107 |
| Entity Type | Organization |
| Organization Name | STOP AND SHOP SUPERMARKET CO LLC |
| Other Organization Name | STOP AND SHOP PHARMACY #675 |
| Practice Address |
920 Wolcott St Waterbury CT 06705-1300 |
| Practice Telephone | 2037559538 |
| Practice Fax Number | 2037559908 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2011-10-27 |
| Authorized Official Name | BRAD DAYTON (DIRECTOR) |
| Authorized Official Telephone | 6177708782 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | 1781 | CT | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 1781 | CT | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
1781 | CT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 940004215233 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0718998 | 01 |
| Other Name | Type Code |
|---|---|
| STOP AND SHOP PHARMACY #675 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265803688 | Stop and Shop Supermarket Co LLC | Durable Medical Equipment & Medical Supplies | 85 East Park Ave, Long Beach, NY 11561 | 2015-10-12 |
| 1073982815 | Stop and Shop Supermarket Co LLC | Durable Medical Equipment & Medical Supplies | 92-10 Atlantic Ave, Ozone Park, NY 11417 | 2015-09-23 |
| 1366795809 | Stop and Shop Supermarket Co LLC | Pharmacy | 40 Furlong Dr, Revere, MA 02151-4006 | 2012-10-22 |
| 1316951205 | Stop and Shop Supermarket Co LLC | Durable Medical Equipment & Medical Supplies | 1710 Avenue Y, Brooklyn, NY 11235-3534 | 2006-07-28 |
| 1225042112 | Stop and Shop Supermarket Co LLC | Durable Medical Equipment & Medical Supplies | 829 Worcester St, Natick, MA 01760-2076 | 2006-07-28 |
| 1669491692 | Stop and Shop Supermarket Co LLC | Pharmacy | 105 Elm St, Old Saybrook, CT 06475-4132 | 2006-07-19 |
| 1568481596 | Stop and Shop Supermarket Co LLC | Durable Medical Equipment & Medical Supplies | 111 Chatham Rd, Harwich, MA 02645 | 2006-07-19 |
| 1578582508 | Stop and Shop Supermarket Co LLC | Pharmacy | 930 N Colony Rd, Wallingford, CT 06492-2471 | 2006-07-19 |
| 1902825938 | Stop and Shop Supermarket Co LLC | Pharmacy | Dan Fox Dr Rte 7, Pittsfield, MA 01201 | 2006-07-19 |
| 1386663318 | Stop and Shop Supermarket Co LLC | Durable Medical Equipment & Medical Supplies | 2110 Cranberry Cove Plaza, Orleans, MA 02653 | 2006-07-19 |
| Street Address |
920 WOLCOTT ST |
| City | WATERBURY |
| State | CT |
| Zip Code | 06705-1300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861922569 | Yasemin Malik | Pharmacist | 920 Wolcott St, Waterbury, CT 06705-1300 | 2017-06-14 |
| 1093254260 | Carmelita Zarrella | Pharmacist | 920 Wolcott St, Waterbury, CT 06705-1300 | 2017-02-21 |
| 1588103642 | Frank Santoli | Pharmacist | 920 Wolcott St, Waterbury, CT 06705-1300 | 2017-02-21 |
| 1316290182 | Estelle L Pinkhasik | Pharmacist | 920 Wolcott St, Waterbury, CT 06705-1300 | 2012-10-18 |
| 1447515325 | Eric Jason Halpern | Pharmacist | 920 Wolcott St, Waterbury, CT 06705 | 2012-07-06 |
| 1164753117 | Dental Dreams, LLC | Dentist | 920 Wolcott St, Waterbury, CT 06705-1300 | 2010-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598245037 | Karanbeer Singh Aulakh | Dentist | Smile & Shine Dental, 158 Manor Avenue, Waterbury, CT 06705 | 2018-08-15 |
| 1912495797 | Jennie Webb | Physician Assistant | 2247 E Main St Ste 103, Waterbury, CT 06705 | 2018-04-26 |
| 1558886671 | Macaela Cirish | Nurse Practitioner | 3801 East Main Street, Second Floor, Waterbury, CT 06705 | 2017-08-09 |
| 1033648464 | Mahwish Makhdoom | Pharmacist | 464 Reidville Drive, Waterbury, CT 06705 | 2017-06-08 |
| 1417407248 | Jaswinder Gulati | Dentist | 939 Wolcott Street Unit 5b, Waterbury, CT 06705 | 2016-10-05 |
| 1407272107 | Cori Capuano | Counselor | 230 Frost Rd Unit B, Waterbury, CT 06705 | 2014-03-05 |
| 1528403177 | Daniel G. Brennan | Dentist | 2457 East Main St, Waterbury, CT 06705 | 2013-05-08 |
| 1538419742 | Jenna Elizabeth Partola | Physician Assistant | 1327 Meriden Rd, Wolcott, CT 06705 | 2012-09-14 |
| 1710244785 | Mirta Sabino | Counselor | 126 Stonefield Dr, Waterbury, CT 06705 | 2012-04-16 |
| 1578849519 | Uday Shankar | Internal Medicine | 3801 E Main St Fl 2, Waterbury, CT 06705 | 2011-10-21 |
| Find all providers in zip 06705 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336782804 | Royal Pharmacy LLC | Pharmacy | 1420 Meriden Rd, Waterbury, CT 06705-3632 | 2019-10-28 |
| 1114000361 | Main Street Chemists Inc | Pharmacy | 2152 E Main St, Waterbury, CT 06705-2603 | 2006-10-23 |
| 1881707271 | Price Chopper Inc | Pharmacy | 943 Wolcott St, Waterbury, CT 06705-1301 | 2006-08-17 |
| 1861506164 | B and L Pharmacy Inc | Pharmacy | 792 Highland Ave, Waterbury, CT 06708-4117 | 2006-08-17 |
| 1366956864 | Fnd Pharmacy Inc | Pharmacy | 792 Highland Ave, Waterbury, CT 06708-4117 | 2017-11-21 |
| 1699124057 | Cvs/pharmacy | Pharmacy | 1279 W Main St, Waterbury, CT 06708-3101 | 2016-06-07 |
| 1790141034 | Brass Mill Pharmacy, LLC | Pharmacy | 1405 E Main St, Waterbury, CT 06705 | 2015-12-31 |
| 1770814527 | Kph Healthcare Services, Inc. | Pharmacy | 80 S Main St, Waterbury, VT 05676-1553 | 2010-01-19 |
| 1093825606 | Costco Wholesale Corporation | Pharmacy | 3600 E Main St, Waterbury, CT 06705 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918666 | Orangerx Pharmacy Inc | Pharmacy | 240 Indian River Rd Unit F, Orange, CT 06477-3649 | 2020-09-26 |
| 1568072627 | Corporate Pharmacy Corp | Pharmacy | 4 Corporate Dr Ste 198, Shelton, CT 06484-6240 | 2020-08-04 |
| 1669094439 | Cx Pharmacy Corp | Pharmacy | 110 Commerce Dr Ste 250, Shelton, CT 06484-6259 | 2020-05-14 |
| 1932746591 | Nutmeg Pharmacy Moodus LLC | Pharmacy | 38 William F Palmer Rd, Moodus, CT 06469-1131 | 2019-12-03 |
| 1811531544 | Medical Center Pharmacy and Home Care Center, Inc. | Pharmacy | 600 Derby Avenue, West Haven, CT 06516 | 2019-11-06 |
| 1649814633 | Saint Francis Hospital and Medical Center | Pharmacy | 131 Coventry St Ste 2, Hartford, CT 06112-1548 | 2019-11-01 |
| 1760032627 | Westport Apothecary LLC | Pharmacy | 125 Post Rd E, Westport, CT 06880-3410 | 2019-09-12 |
| 1871146803 | Care Plus Rx Solutions LLC | Pharmacy | 250 Indian River Rd, Orange, CT 06477-3627 | 2019-07-18 |
| 1295209773 | Black Rock Pharmacy LLC | Pharmacy | 1838 Black Rock Tpke, Fairfield, CT 06825-3500 | 2019-01-17 |
| 1154895837 | Main Street Pharmacy Inc | Pharmacy | 2550 Main St Fl 1, Hartford, CT 06120-1936 | 2019-01-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.