STOP AND SHOP SUPERMARKET CO LLC (NPI# 1386676245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386676245 |
| Entity Type | Organization |
| Organization Name | STOP AND SHOP SUPERMARKET CO LLC |
| Other Organization Name | STOP AND SHOP PHARMACY #708 |
| Practice Address |
1360 W Main Rd Middletown RI 02842-6301 |
| Practice Telephone | 4018499640 |
| Practice Fax Number | 4018498048 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2011-10-24 |
| 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 | L11 | RI | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | L11 | RI | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
L11 | RI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4104054 | 01 | |
| RI | 9010011 | 05 |
| Other Name | Type Code |
|---|---|
| STOP AND SHOP PHARMACY #708 | 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 |
1360 W MAIN RD |
| City | MIDDLETOWN |
| State | RI |
| Zip Code | 02842-6301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770191009 | Maura K Fennessey | Physician Assistant | 1360 W Main Rd, Middletown, RI 02842-6301 | 2020-07-22 |
| 1649785262 | Marc Belisle | Nurse Practitioner | 1360 W Main Rd, Middletown, RI 02842-6301 | 2017-12-05 |
| 1366524696 | Joan M Mchugh | Nurse Practitioner | 1360 W Main Rd, Middletown, RI 02842-6301 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427671478 | Shannon M. Pine | Counselor | E Admiralty Drive, 2, Middletown, RI 02842 | 2020-05-26 |
| 1912425968 | Gail Demarco | Registered Nurse | 127 Johnnycake Hill Road, Middletown, RI 02842 | 2017-08-30 |
| 1790201861 | Logan Christopher Menard | Specialist/Technologist | 4 Orville Drive, Middletown, RI 02842 | 2017-08-20 |
| 1295149714 | Jacquelyn Marez | Occupational Therapy Assistant | 1998 West Main Rd, Middletown, RI 02842 | 2014-06-12 |
| 1144660465 | Brittney Lea Barry | Audiologist | Naval Health Clinic New England 43 Smith Rd., Newport, RI 02842 | 2013-07-01 |
| 1912262445 | Wendy S Drysdale | Student in an Organized Health Care Education/Training Program | 372 Purgatory Road, St. George's School, Middletown, RI 02842 | 2012-07-11 |
| 1912294778 | Laurie B Phenix | Pharmacist | 88 Silva Lane, Tech 4, Suite 110, Middletown, RI 02842 | 2011-06-30 |
| 1023278249 | Ann Marie Efflandt | Speech-Language Pathologist | 333 Green Ave, Middletown, RI 02842 | 2008-06-11 |
| 1669631487 | Tiffany Bourquin | Counselor | 575 E Main Rd Unit 4, Middletown, RI 02842 | 2008-06-06 |
| 1104048396 | Valley Primary Care Inc | Family Medicine | 294 Valley Road, Middletown, RI 02842 | 2007-05-03 |
| Find all providers in zip 02842 | ||||
| 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 |
|---|---|---|---|---|
| 1700434214 | Kratzer Pharmacy Inc. | Pharmacy | 711 S Breiel Blvd, Middletown, OH 45044-6201 | 2019-08-28 |
| 1962928473 | Walgreen Co | Pharmacy | 1447 State Route 35, Middletown, NJ 07748-2030 | 2017-08-16 |
| 1407179476 | Beena 3 Inc | Pharmacy | 167-171 Dolson Ave, Middletown, NY 10940 | 2010-03-05 |
| 1639404775 | Med One Pharmacy Inc | Pharmacy | 4317 Old National Pike, Middletown, MD 21769-7700 | 2009-10-07 |
| 1629268875 | Shoprite Supermarkets Inc. | Pharmacy | 20 Lloyds Lane, Middletown, NY 10940 | 2007-07-25 |
| 1962506766 | Rhode Island Cvs Pharmacy, L.L.C. | Pharmacy | 99 E Main Rd, Middletown, RI 02842-4953 | 2006-09-12 |
| 1396848016 | Hook Superx LLC | Pharmacy | 1006 W Mill St, Middletown, IN 47356-9353 | 2006-09-07 |
| 1285737007 | Ohio Cvs Stores LLC | Pharmacy | 820 S Breiel Blvd, Middletown, OH 45044-6204 | 2006-09-07 |
| 1477656296 | Ohio Cvs Stores LLC | Pharmacy | 2424 N Verity Pkwy, Middletown, OH 45042-2466 | 2006-09-07 |
| 1669575171 | Ohio Cvs Stores LLC | Pharmacy | 440 Oxford State Rd, Middletown, OH 45044-7434 | 2006-09-07 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 02842 |
Please comment or provide details below to improve the information on STOP AND SHOP SUPERMARKET CO LLC.
| 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.