STOP AND SHOP SUPERMARKET CO LLC (NPI# 1265803688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265803688 |
| Entity Type | Organization |
| Organization Name | STOP AND SHOP SUPERMARKET CO LLC |
| Other Organization Name | STOP & SHOP PHARMACY 2582 |
| Practice Address |
85 East Park Ave Long Beach NY 11561 |
| Mailing Address |
1149 Harrisburg Pike Attn: Third Party Coordinator Carlisle PA 17013-1607 |
| Practice Telephone | 5168896704 |
| Practice Fax Number | 5168896709 |
| Mailing Telephone | 7179608553 |
| Mailing Fax Number | 7179601389 |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2016-04-14 |
| Authorized Official Name | RAYMOND MCCALL (THIRD PARTY COORDINATOR) |
| Authorized Official Telephone | 7179605666 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | Y |
| Parent Organization Name | AHOLDUSA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | STATE LICENSE | 034071 | 01 |
| NY | DEA LICENSE | FT5740279 | 01 |
| Other Name | Type Code |
|---|---|
| STOP & SHOP PHARMACY 2582 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1811916844 | Stop and Shop Supermarket Co LLC | Pharmacy | Route 6a and Merchants Rd, Sandwich, MA 02563 | 2006-07-19 |
| Street Address |
85 EAST PARK AVE |
| City | LONG BEACH |
| State | NY |
| Zip Code | 11561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083246961 | Romina Zitofsky | Community Health Worker | 65 Pacific Blvd, Long Beach, NY 11561 | 2020-02-07 |
| 1710519038 | Can Flei Corp. | Massage Therapist | 116 Taft Ave., Long Beach, NY 11561 | 2020-02-05 |
| 1073032199 | Sherrie Cooper | Behavior Technician | 554 East Pine Street, Long Beach, NY 11561 | 2017-09-11 |
| 1437679354 | Alana Doonachar | Physician Assistant | 100 Belmont Avenue, Long Beach, NY 11561 | 2017-06-21 |
| 1023547452 | Tina Bayer | Nurse Practitioner | 427 East Chester Street 2nd Floor, Long Beach, NY 11561 | 2017-06-08 |
| 1316483977 | Taylor Nicole Paganini | Massage Therapist | 252 Grand Blvd, Long Beach, NY 11561 | 2017-01-06 |
| 1588048797 | Carol Bell | Behavioral Analyst | 121 Harding Avenue, Long Beach, NY 11561 | 2015-07-17 |
| 1811378821 | Patricia Harris | Case Manager/Care Coordinator | 72 Illinios Avenue, Long Beach, NY 11561 | 2015-06-16 |
| 1164801916 | Antonia Dileo | Marriage & Family Therapist | 36 Prescott Street, Lido Beach, NY 11561 | 2015-05-27 |
| 1841691623 | Rebecca Hoffenberg | Counselor | Long Beach Reach, 2-12 W Park Ave, Long Beach, NY 11561 | 2014-09-11 |
| Find all providers in zip 11561 | ||||
| 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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| 1134786437 | Soung Monh Pharmacy Corporation | Pharmacy | 1050 Atlantic Avenue, Long Beach, CA 90813-3403 | 2019-05-22 |
| 1609345925 | Belmont Rx LLC | Pharmacy | 6583 Atlantic Ave., 1st Floor Ste 109, Long Beach, CA 90805 | 2018-11-15 |
| 1972083459 | Pacific Avenue Pharmacy Inc | Pharmacy | 2777 Pacific Ave Ste A, Long Beach, CA 90806-2626 | 2018-08-15 |
| 1871016972 | Walgreen Co | Pharmacy | 200 W Railroad St Ste B, Long Beach, MS 39560-4517 | 2017-07-20 |
| 1730611559 | Good Life Pharmacy Inc | Pharmacy | 2633 Atlantic Ave, Long Beach, CA 90806-2710 | 2017-03-30 |
| 1790152114 | Aaa Golden Pharmacy Inc | Pharmacy | 1750 Pacific Ave, Long Beach, CA 90813-1715 | 2015-09-02 |
| 1821494576 | La Drugs Inc | Pharmacy | 4233 Atlantic Ave, Long Beach, CA 90807 | 2014-11-07 |
| 1811392418 | Galaxy Pharmacy Inc | Pharmacy | 1295 E Anaheim St, Long Beach, CA 90813-3709 | 2014-10-27 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 11561 |
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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.