THE STOP AND SHOP SUPERMARKET CO LLC (NPI# 1336518174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336518174 |
| Entity Type | Organization |
| Organization Name | THE STOP AND SHOP SUPERMARKET CO LLC |
| Other Organization Name | STOP & SHOP PHARMACY 2585 |
| Practice Address |
13440 Springfield Blvd Springfield Gardens NY 11413-1403 |
| Mailing Address |
1149 Harrisburg Pike Attn: April Hoover Carlisle PA 17013-1607 |
| Practice Telephone | 7185252422 |
| Practice Fax Number | 7185252180 |
| Mailing Telephone | 7179608553 |
| Mailing Fax Number | 7179601389 |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2016-04-14 |
| Authorized Official Name | MR. RAYMOND MCCALL (SVP HEALTH & HOUSEHOLD) |
| 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 | NY | Suppliers | |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | STATE LICENSE | 034054 | 01 |
| NY | DEA LICENSE | FT5740255 | 01 |
| Other Name | Type Code |
|---|---|
| STOP & SHOP PHARMACY 2585 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679505523 | The Stop and Shop Supermarket Co LLC | Durable Medical Equipment & Medical Supplies | 100 Us Route 36, Keyport, NJ 07735-1420 | 2006-07-07 |
| 1972535854 | The Stop and Shop Supermarket Co LLC | Durable Medical Equipment & Medical Supplies | 1100 Massachusetts Ave, Dorchester, MA 02125-1606 | 2006-07-07 |
| 1881062511 | The Stop and Shop Supermarket Co LLC | Durable Medical Equipment & Medical Supplies | 130 Wheatley Plz, Greenvale, NY 11548-1344 | 2015-09-11 |
| Street Address |
13440 SPRINGFIELD BLVD |
| City | SPRINGFIELD GARDENS |
| State | NY |
| Zip Code | 11413-1403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790327054 | Mireille Conserve | Licensed Practical Nurse | 226 145th Ave, Spring Field, NY 11413 | 2019-10-08 |
| 1619433208 | Taina Baker | Nurse Practitioner | 143-71 229th Street, Springfield Gardens, NY 11413 | 2019-02-19 |
| 1942764915 | Jacqueline Archer | Registered Nurse | 2212 145 Road, Springfiled Gardens, NY 11413 | 2019-01-24 |
| 1841709524 | Sandra Williams | Specialist | 145-79 223 St, Springfield Gardens, NY 11413 | 2017-09-25 |
| 1508375478 | Tamara Williams | Registered Nurse | 142-29 231 St, Springfield Gardens, NY 11413 | 2017-09-23 |
| 1184140113 | Igbans Home Care Services | Home Health | 21834 139 Avenue, Springfield Gardens, NY 11413 | 2017-08-22 |
| 1902328982 | Lauren Marie Cover | Psychologist | 134-42 227 Street, Laurelton, NC 11413 | 2017-07-12 |
| 1174061741 | Assured Home Companion Care Inc | Home Health | 13519 221st St, Laurelton, NY 11413 | 2017-02-03 |
| 1831631084 | Grace Elizabeth Jaramillo | Home Health | 135-11 229 Street, Ph, Laurelton, NY 11413 | 2016-11-04 |
| 1720530504 | Nadine Gordon | Licensed Practical Nurse | 182 03 143rd Ave, Springfield Garden, NY 11413 | 2016-10-27 |
| Find all providers in zip 11413 | ||||
| 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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| 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 | SPRINGFIELD GARDENS |
| Zip Code | 11413 |
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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.