STOP AND SHOP SUPERMARKET CO LLC (NPI# 1336171289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336171289 |
| Entity Type | Organization |
| Organization Name | STOP AND SHOP SUPERMARKET CO LLC |
| Other Organization Name | STOP AND SHOP PHARMACY #564 |
| Practice Address |
575 W Montauk Hwy West Babylon NY 11704-8308 |
| Practice Telephone | 6313219055 |
| Practice Fax Number | 6313219072 |
| 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 | 24790 | NY | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 24790 | NY | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
24790 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3315050 | 01 | |
| NY | 02079972 | 05 |
| Other Name | Type Code |
|---|---|
| STOP AND SHOP PHARMACY #564 | 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 |
575 W MONTAUK HWY |
| City | WEST BABYLON |
| State | NY |
| Zip Code | 11704-8308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356663280 | John J Buck | Pharmacist | 575 W Montauk Hwy, West Babylon, NY 11704-8308 | 2010-02-19 |
| 1396812301 | Steven Mark Greenberg | Pharmacist | 575 W Montauk Hwy, West Babylon, NY 11704-8308 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679107387 | Terese Wunderlich | Massage Therapist | 555 Little E. Neck Road, West Babylon, NY 11704 | 2020-03-03 |
| 1437782604 | Pierangelie Maldonado | Licensed Practical Nurse | 140 Bond Street, West Babylon, NY 11704 | 2020-02-17 |
| 1356811947 | Chanell Smiley | Social Worker | 635 Commander Ave, West Babylon, NY 11704 | 2018-11-27 |
| 1265973960 | Elizabeth Cianchetti, Lcsw, Pllc | Social Worker | 1218 -12th St., West Babylon, NY 11704 | 2017-03-14 |
| 1689060626 | Jessica Marie Byers | Licensed Practical Nurse | 430 14th Street, West Babylon, NY 11704 | 2015-04-07 |
| 1689079741 | Barbara Hayes | Registered Nurse | 1 Farmingdale Road Route 109, Federation of Organizations, West Babyon, NY 11704 | 2014-10-30 |
| 1336541515 | Heather C Frankaitis | Massage Therapist | 555 Little East Neck Rd., Suite 3, West Babylon, NY 11704 | 2014-09-19 |
| 1922414572 | Nikki Lanclos | Counselor | 165 Fulton Street, West Babylon, NY 11704 | 2014-07-03 |
| 1699189027 | Corina Smith | Licensed Practical Nurse | 15 Mida Ct, West Babylon, NY 11704 | 2014-06-13 |
| 1528483005 | Angela Christina Albergo-roman | Counselor | One Farmingdale Road, West Babylon, NY 11704 | 2014-02-20 |
| Find all providers in zip 11704 | ||||
| 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 |
|---|---|---|---|---|
| 1043314891 | Cvs Albany LLC | Pharmacy | 1012 Little East Neck Rd, West Babylon, NY 11704-2410 | 2006-09-12 |
| 1679515969 | Focus Rx Inc. | Pharmacy | 1035 Straight Path, West Babylon, NY 11704-3246 | 2006-06-12 |
| 1598712028 | M&l Pharmacy Inc Dba Belmont Drugs and Surgical | Pharmacy | 626 Sunrise Hwy, West Babylon, NY 11704-6011 | 2006-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396388 | Sharx Corp | Pharmacy | 4301 48th Ave, Woodside, NY 11377-6241 | 2020-11-03 |
| 1841890878 | Corner Pharmacy Myrtle | Pharmacy | 680 Myrtle Ave, Brooklyn, NY 11205-4119 | 2020-10-28 |
| 1124627302 | Elite Pharmacy Inc. | Pharmacy | 614a Grand St, Brooklyn, NY 11211-4802 | 2020-10-20 |
| 1073111951 | Pharmacy On Bay Street Inc. | Pharmacy | 1209 Bay St, Staten Island, NY 10305-3121 | 2020-10-13 |
| 1760080741 | Carol Pharmacy LLC | Pharmacy | 4230 Broadway, New York, NY 10033-3746 | 2020-10-13 |
| 1528666443 | Mvp Pharmacy Inc | Pharmacy | 920 Wheeler Rd Ste 920, Hauppauge, NY 11788-2900 | 2020-10-13 |
| 1477151512 | 101 Rx Pharmacy Inc | Pharmacy | 101 Rx Pharmacy Inc, 9718 101st Ave, Ozone Park, NY 11416 | 2020-10-12 |
| 1043818289 | Xuwei Lin | Pharmacy | 8218 14th Ave, Brooklyn, NY 11228-3114 | 2020-10-10 |
| 1043817463 | Angella Samson | Pharmacy | 1346 Granville Payne Ave, Brooklyn, NY 11239-2103 | 2020-10-08 |
| 1366059792 | Community Healthcare Network Inc. | Pharmacy | 999 Blake Ave Fl 1, Brooklyn, NY 11208-3535 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
| City | WEST BABYLON |
| Zip Code | 11704 |
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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.