BROOKDALE SHOPRITE INC (NPI# 1184739963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184739963 |
| Entity Type | Organization |
| Organization Name | BROOKDALE SHOPRITE INC |
| Other Organization Name | SHOPRITE PHARMACY 215 |
| Practice Address |
1409 Broad St Bloomfield NJ 07003-3001 |
| Practice Telephone | 9733384143 |
| Practice Fax Number | 9738931623 |
| Mailing Telephone | 9733384143 |
| Mailing Fax Number | 9738931623 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2018-07-19 |
| 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 |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
28RS00571800 | NJ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 7892403 | 05 | |
| PK | 2054142 | 01 |
| Other Name | Type Code |
|---|---|
| SHOPRITE PHARMACY 215 | Doing Business As Name - Organization |
| Street Address |
1409 BROAD ST |
| City | BLOOMFIELD |
| State | NJ |
| Zip Code | 07003-3001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316560501 | Delores Heart,llc | Respite Care | Delores Heart, 17 Dodd St. Ste A5, Bloomfield, NJ 07003 | 2020-05-21 |
| 1235798505 | Tina Rivera | Physical Therapy Assistant | A Team Approach, Pt 265 Broad Street, Suite 4, Bloomfield, NJ 07003 | 2019-06-11 |
| 1144709239 | Jennifer Stuart | Social Worker | 27 Park Place, Apt. 13, Bloomfield, NJ 07003 | 2018-08-09 |
| 1992212179 | Kristina Camille P Manapat | Student in an Organized Health Care Education/Training Program | 1690 Broad St., Bloomfield, NJ 07003 | 2018-01-09 |
| 1760993224 | Vivian Arroyo | Counselor | 76 Baldwin Pl, Bloomfield, NJ 07003 | 2017-10-23 |
| 1942719653 | Savita Singh | Dentist | 40 Conger Street, 1402b, Bloomfield, NJ 07003 | 2017-09-26 |
| 1942729926 | Moya Mathison | Counselor | 27 West St # 5a, Bloomfield, NJ 07003 | 2017-09-11 |
| 1801319512 | Janice Rainford | Counselor | 267 Broughton Ave # 2, Bloomfield, NJ 07003 | 2017-07-25 |
| 1154841468 | Nhat Minh Nguyen | Nurse Practitioner | 3 Donald St, Apt. D, Bloomfield, NJ 07003 | 2017-06-27 |
| 1578091872 | Janice M. Steel | Physical Therapy Assistant | 265 Broad Street, Suite 4, Bloomfield, NJ 07003 | 2017-05-31 |
| Find all providers in zip 07003 | ||||
| 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] |
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| 1417252347 | Reliance Bloomfield LLC | Pharmacy | 699 Cottage Grove Road, Bloomfield, CT 06002 | 2011-01-25 |
| 1154405017 | Gilfillan Clinic Pharmacy | Pharmacy | 101 E Jefferson St, Bloomfield, IA 52537-1606 | 2006-10-25 |
| 1861575425 | Burgess Pharmacy, Inc | Pharmacy | 56 Broad St, Bloomfield, NJ 07003-2500 | 2006-10-24 |
| 1407949035 | North Center Drugs | Pharmacy | 386 Broad Street, Bloomfield, NJ 07003 | 2006-10-02 |
| 1942303664 | Hook-superx LLC | Pharmacy | 668 S Us Highway 231, Bloomfield, IN 47424-7114 | 2006-09-07 |
| 1326159625 | Kare Inc. | Pharmacy | 100 N Church St Ste A, Bloomfield, NM 87413-5754 | 2006-08-31 |
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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 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMFIELD |
| Zip Code | 07003 |
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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.