STOP AND SHOP SUPERMARKET CO LLC (NPI# 1164454013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164454013 |
| Entity Type | Organization |
| Organization Name | STOP AND SHOP SUPERMARKET CO LLC |
| Other Organization Name | STOP AND SHOP PHARMACY #528 |
| Practice Address |
1429 Route 300 Newburgh NY 12550-2908 |
| Practice Telephone | 8455664266 |
| Practice Fax Number | 8455664784 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2011-10-19 |
| 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 | 024508 | NY | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 024508 | NY | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
024508 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02003827 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3308257 | 01 |
| Other Name | Type Code |
|---|---|
| STOP AND SHOP PHARMACY #528 | 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 |
1429 ROUTE 300 |
| City | NEWBURGH |
| State | NY |
| Zip Code | 12550-2908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417272378 | Debora Elaine Deluise | Pharmacist | 1429 Route 300, Newburgh, NY 12550-2908 | 2010-04-05 |
| 1376875351 | Anthony J Cioffi | Pharmacist | 1429 Route 300, Newburgh, NY 12550-2908 | 2010-02-02 |
| 1568610210 | Nunzio J Competiello | Pharmacist | 1429 Route 300, Newburgh, NY 12550-2908 | 2008-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154986057 | Jennifer Lauren Steckenrider | Optometrist | 1201 Ny-300, Newburgh, NY 12550 | 2019-05-06 |
| 1386103125 | Dorian Kim Shann | Physical Therapist | 53 Ny-17k Suite 2, Newburgh, NY 12550 | 2019-03-19 |
| 1083186100 | Kimberly Ellen Vondras | Registered Nurse | 21-23 Grand Street, Newburgh, NY 12550 | 2018-12-31 |
| 1487144887 | Jenna Gaudio | Dentist | 1413 Union Ave, Newburgh, NY 12550 | 2018-05-11 |
| 1215431119 | Diane Gonzales | Counselor | 3 Commercial Place, Newburgh, NY 12550 | 2018-03-23 |
| 1386148740 | Cvs Albany LLC | Pharmacy | 203 South Plank Rd, Newburgh, NY 12550 | 2018-03-21 |
| 1063939510 | Paula A. Coloni | Social Worker | One Maguire Way Stewart Air National Guard Base, Newburgh, NY 12550 | 2017-08-25 |
| 1306362652 | Richard Malvey | Counselor | 172 Liberty Street, Newburgh, NY 12550 | 2017-08-18 |
| 1770008559 | Walgreen Co | Pharmacy | 59 N Plank Rd Ste 2, Newburgh, NY 12550 | 2017-08-14 |
| 1639691017 | Danielle Elizabeth Ingrassia | Behavioral Analyst | 8 Crestwood Ct., Newburgh, NY 12550 | 2017-07-07 |
| Find all providers in zip 12550 | ||||
| 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 |
|---|---|---|---|---|
| 1871067785 | Grace Family Pharmacy Inc. | Pharmacy | 313 S William St Ste 3, Newburgh, NY 12550-5300 | 2019-01-14 |
| 1386148740 | Cvs Albany LLC | Pharmacy | 203 South Plank Rd, Newburgh, NY 12550 | 2018-03-21 |
| 1770008559 | Walgreen Co | Pharmacy | 59 N Plank Rd Ste 2, Newburgh, NY 12550 | 2017-08-14 |
| 1164881942 | Raina Rx LLC | Pharmacy | 1208 Route 300 Ste 103, Newburgh, NY 12550-5003 | 2016-02-22 |
| 1164730891 | Harinam Rx Inc | Pharmacy | 313 South William St, Suite 3, Newburgh, NY 12550 | 2010-09-15 |
| 1023293115 | Signature Rx Inc | Pharmacy | 181 S Plank Rd, Newburgh, NY 12550-3054 | 2008-01-08 |
| 1679672810 | Eckerd Corporation | Pharmacy | 97 Lake St, Newburgh, NY 12550-5244 | 2006-09-22 |
| 1205939931 | Hook Superx LLC | Pharmacy | 7722 W State Route 66, Newburgh, IN 47630-2529 | 2006-09-07 |
| 1366082695 | St Marys Health Inc | Pharmacy | 100 St Marys Epworth Xing, Newburgh, IN 47630-9497 | 2020-01-15 |
| 1811360100 | Haywood Rx LLC | Pharmacy | 8900 Ruffian Ln, Newburgh, IN 47630-3424 | 2015-11-09 |
| Find all providers in NEWBURGH | ||||
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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.