STOP AND SHOP SUPERMARKET CO LLC (NPI# 1366474231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366474231 |
Entity Type | Organization |
Organization Name | STOP AND SHOP SUPERMARKET CO LLC |
Other Organization Name | STOP AND SHOP PHARMACY #404 |
Practice Address |
1600 Boston Post Road Springfield MA 01129 |
Practice Telephone | 4135435428 |
Practice Fax Number | 4135430042 |
Enumeration Date | 2006-07-07 |
Last Update Date | 2011-10-14 |
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 | 332B00000X | Durable Medical Equipment & Medical Supplies | 3212 | MA | Suppliers |
N | 333600000X | Pharmacy | 3212 | MA | Suppliers |
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
3212 | MA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OTHER ID NUMBER-COMMERCIAL NUMBER | 2228585 | 01 | |
MA | 0404837 | 05 |
Other Name | Type Code |
---|---|
STOP AND SHOP PHARMACY #404 | 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 |
1600 BOSTON POST ROAD |
City | SPRINGFIELD |
State | MA |
Zip Code | 01129 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396210688 | Reesha Brodeur Waldron | Pharmacist | 1600 Boston Rd, Pharmacy Dept - Reesha Waldron Floater Rph, Springfield, MA 01129 | 2018-10-12 |
1336498799 | Health Imperatives, Inc | Clinic/Center | 280 Tinkham Road, Springfield, MA 01129 | 2012-08-31 |
1235319260 | Bare Necessities of Springfield | Prosthetic/Orthotic Supplier | 1704 Boston Road, Springfield, MA 01129 | 2007-11-07 |
1184795908 | Laura Gramse | Dentist | 2194 Wilbraham Road, Springfield, MA 01129 | 2006-11-13 |
1417259391 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1242 Parker St, Springfield, MA 01129-1006 | 2010-11-26 |
1013978972 | Stephen A Dean | Chiropractor | 1367 Parker Street, Springfield, MA 01129-1007 | 2006-03-30 |
1992848477 | Ziyu Xu | Acupuncturist | 1433 Parker St, Springfield, MA 01129-1010 | 2007-02-15 |
1013211044 | Angelica Rodriguez | Counselor | 688 Parker St, Springfield, MA 01129-1020 | 2011-01-05 |
1669796801 | Kwame Yiadom | Student in an Organized Health Care Education/Training Program | 1148 Parker St, Springfield, MA 01129-1030 | 2010-03-17 |
1053346577 | William John Metropoulos | Optometrist | 1190 Parker St, Springfield, MA 01129-1030 | 2006-07-12 |
Find all providers in zip 01129 |
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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1770093122 | Genoa Healthcare, LLC | Pharmacy | 417 Liberty St Ste 1b, Springfield, MA 01104-3739 | 2017-10-11 |
1316483266 | Springfield Clinic, LLP | Pharmacy | 900 N 1st St Rm 4066, Springfield, IL 62702-3749 | 2017-01-17 |
1194277681 | Grove Professional Pharmacy, Inc | Pharmacy | 1636 S Glenstone Ave Ste 108, Springfield, MO 65804-1512 | 2016-10-31 |
1962852012 | Main Sail Enterprises South LLC | Pharmacy | 222 E Primrose St Ste B, Springfield, MO 65807-5233 | 2016-06-20 |
1588042816 | Main Sail Enterprises-downtown LLC | Pharmacy | 655 S Campbell Ave, Springfield, MO 65806-2901 | 2015-05-06 |
1972901189 | Fred's Stores of Tennessee Inc | Pharmacy | 1117 Lincoln Park Rd, Springfield, KY 40069 | 2014-12-22 |
1417363516 | Springfield Family Pharmacy, Inc | Pharmacy | 175 Carew St, Suite 100, Springfield, MA 01104 | 2014-07-09 |
1932529716 | Walgreen Co | Pharmacy | 440 E Tampa St Ste 100, Springfield, MO 65806-1131 | 2014-04-21 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 01129 |
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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.