STOP AND SHOP SUPERMARKET CO LLC (NPI# 1174555031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174555031 |
| Entity Type | Organization |
| Organization Name | STOP AND SHOP SUPERMARKET CO LLC |
| Other Organization Name | STOP AND SHOP PHARMACY #629 |
| Practice Address |
898 Bridgeport Ave Shelton CT 06484-4625 |
| Practice Telephone | 2039293887 |
| Practice Fax Number | 2039293999 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2011-10-21 |
| Authorized Official Name | BRAD DAYTON (DIRECTOR) |
| Authorized Official Telephone | 6177708732 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | 1187 | CT | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 1187 | CT | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
1187 | CT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 940004049854 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0711982 | 01 |
| Other Name | Type Code |
|---|---|
| STOP AND SHOP PHARMACY #629 | 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 |
898 BRIDGEPORT AVE |
| City | SHELTON |
| State | CT |
| Zip Code | 06484-4625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578058509 | Jason Michael Ostrosky | Pharmacist | 898 Bridgeport Ave, Shelton, CT 06484-4625 | 2018-06-22 |
| 1467946491 | Maryjo Josephine Gallo | Pharmacist | 898 Bridgeport Ave, Shelton, CT 06484-4625 | 2018-06-22 |
| 1093209801 | Patricia Mary Jenco | Pharmacist | 898 Bridgeport Ave, Shelton, CT 06484-4625 | 2018-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949517 | Judy Ports | Speech-Language Pathologist | 100 Bear Sawmill Rd, Shelton, CT 06484 | 2020-07-22 |
| 1144793340 | Theodore N. Zengou | Pharmacist | 875 Bridgeport Av., Shelton, CT 06484 | 2019-01-10 |
| 1194215046 | Brightview Shelton LLC | Alzheimer Center (Dementia Center) | 30 Beard Sawmill Road, Shelton, CT 06484 | 2018-05-16 |
| 1477071264 | Emily Buccigross | Specialist/Technologist | 941 Constitution Blvd N, Shelton, CT 06484 | 2017-09-01 |
| 1134649643 | Margaret Grace Ferrara | Dentist | 4 Corporate Dr Ste 383, Shelton, CT 06484 | 2017-06-26 |
| 1376092007 | Qmg3 LLC | Family Medicine | 405 Bridgeport Avenue, Shelton, CT 06484 | 2016-09-22 |
| 1215316427 | Marcella N. Sancho, Lcsw, LLC | Social Worker | 4 Research Drive, Suite 402, Shelton, CT 06484 | 2015-05-20 |
| 1578987483 | Lisa Sych | Speech-Language Pathologist | 584 Long Hill Avenue- Bishop Wicke Health Center, Shelton, CT 06484 | 2014-02-12 |
| 1073936324 | Jeanne M. Kellogg | Occupational Therapy Assistant | 36 Fairlane Dr., Shelton, CT 06484 | 2014-01-22 |
| 1851724454 | Brittany Steiner | Behavioral Analyst | 26 Pound Ridge Ave, Shelton, CT 06484 | 2013-08-19 |
| Find all providers in zip 06484 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1366827834 | Fred Meyer Pharmacy | Pharmacy | 301 E Wallace Kneeland Blvd, Shelton, WA 98584-2985 | 2015-07-27 |
| 1417197567 | Saint-mark Enterprises 106 LLC | Pharmacy | 207 Professional Way, Shelton, WA 98584-4404 | 2009-03-03 |
| 1184802985 | Pharmacy Operations, Inc | Pharmacy | 207 Professional Way, Shelton, WA 98584-4404 | 2008-02-04 |
| 1598986788 | Walgreen Co. | Pharmacy | 73 Center St, Shelton, CT 06484-3243 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918666 | Orangerx Pharmacy Inc | Pharmacy | 240 Indian River Rd Unit F, Orange, CT 06477-3649 | 2020-09-26 |
| 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 |
| 1336782804 | Royal Pharmacy LLC | Pharmacy | 1420 Meriden Rd, Waterbury, CT 06705-3632 | 2019-10-28 |
| 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 |
| 1578033569 | Uncas Pharmacy LLC | Pharmacy | 20 Town St, Norwich, CT 06360-2306 | 2018-12-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on STOP AND SHOP SUPERMARKET CO LLC.
| 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.