UNION LAKE SUPERMARKET LLC (NPI# 1154521664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154521664 |
| Entity Type | Organization |
| Organization Name | UNION LAKE SUPERMARKET LLC |
| Other Organization Name | SHOPRITE PHARMACY DEPT |
| Practice Address |
2130 N 2nd St Millville NJ 08332-1304 |
| Practice Telephone | 8563279950 |
| Practice Fax Number | 8567762313 |
| Mailing Telephone | 8563279950 |
| Mailing Fax Number | 8567762313 |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2011-12-01 |
| Authorized Official Name | MELISSA FIGUEROA-RIVERA (THIRD PARTY ADMINISTRATOR) |
| Authorized Official Telephone | 7325218439 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0208965 | 05 |
| Other Name | Type Code |
|---|---|
| ShopRite Pharmacy Dept | Doing Business As Name - Organization |
| Street Address |
2130 N 2ND ST |
| City | MILLVILLE |
| State | NJ |
| Zip Code | 08332-1304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588993216 | Francisco Rodriguez | Pharmacist | 2130 N 2nd St, Millville, NJ 08332-1304 | 2009-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285158956 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 26 N. Ladow Ave, Apt. #16b, Millville, NJ 08332 | 2017-08-03 |
| 1649794314 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 26 N. Ladow Ave., Apt. #8d, Millville, NJ 08332 | 2017-08-03 |
| 1639693302 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 26 N. Ladow Ave., Apt. 19k, Millville, NJ 08332 | 2017-08-03 |
| 1912421686 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 26 N. Ladow Ave., Apt. #15j, Millville, NJ 08332 | 2017-08-03 |
| 1720502495 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 26 N. Ladow Ave., Apt. #16f, Millville, NJ 08332 | 2017-08-03 |
| 1376067041 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 26 N. Ladow Ave., Apt. #21h, Millville, NJ 08332 | 2017-08-03 |
| 1932572989 | Caringhouse Projects, Inc | Respite Care | 1306 Farton Road, Millville, NJ 08332 | 2015-11-12 |
| 1467825778 | Caringhouse Projects, Inc | Respite Care | 403 Harrison Avenue, Millville, NJ 08332 | 2015-11-09 |
| 1528444734 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 207 Bogden Boulevard, Millville, NJ 08332 | 2015-08-11 |
| 1285028936 | Brooke Colleen Doyle | Chiropractor | 1014 N High St., Millville, NJ 08332 | 2015-03-20 |
| Find all providers in zip 08332 | ||||
| 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 |
|---|---|---|---|---|
| 1215385547 | Rite Aid Pharmacy | Pharmacy | 907 High St N, Millville, NJ 08332-3762 | 2016-05-26 |
| 1104918705 | New Jersey Cvs Pharmacy LLC | Pharmacy | 1209 N High St, Millville, NJ 08332-2530 | 2006-09-29 |
| 1356356240 | Walgreen Co | Pharmacy | 1111 High St N, Millville, NJ 08332 | 2006-07-29 |
| 1215959887 | Colpharm Inc | Pharmacy | 538 S State St, Millville, PA 17846 | 2006-07-24 |
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| 1770196693 | Dharmsutay LLC | Pharmacy | 1905 Route 88 Ste 5, Brick, NJ 08724-3156 | 2020-08-29 |
| 1598376030 | Westside Pharmacy LLC | Pharmacy | 455 West Side Ave, Jersey City, NJ 07304-1425 | 2020-08-10 |
| 1245848993 | Plaza Pharmacy Corp | Pharmacy | 84 Veronica Ave Ste A107, Somerset, NJ 08873-3529 | 2020-07-20 |
| 1285242008 | Cure Rx Pharmacy PC | Pharmacy | 600 Mule Rd Unit 2, Toms River, NJ 08757-6460 | 2020-07-17 |
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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.