GRADE A MARKET DERBY LLC (NPI# 1548311848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548311848 |
| Entity Type | Organization |
| Organization Name | GRADE A MARKET DERBY LLC |
| Other Organization Name | SHOPRITE PHARMACY OF DERBY |
| Practice Address |
49 Pershing Dr Derby CT 06418-1406 |
| Mailing Address |
Po Box 15169 Newark NJ 07192-5169 |
| Practice Telephone | 2037361055 |
| Practice Fax Number | 2037361007 |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2017-11-17 |
| Authorized Official Name | MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR) |
| Authorized Official Telephone | 7325218439 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PCY0001803 | CT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004222923 | 05 | |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 0719178 | 01 |
| Other Name | Type Code |
|---|---|
| SHOPRITE PHARMACY OF DERBY | Doing Business As Name - Organization |
| Street Address |
49 PERSHING DR |
| City | DERBY |
| State | CT |
| Zip Code | 06418-1406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861497018 | Valley Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 49 Pershing Dr, Derby, CT 06418-1406 | 2005-06-15 |
| 1669086575 | Longqian Wang | Dentist | 49 Pershing Dr, Derby, CT 06418-1406 | 2020-09-08 |
| 1588128235 | Anurag Bhargava | Dentist | 49 Pershing Dr, Derby, CT 06418-1406 | 2019-01-28 |
| 1669956124 | Silvena Petrova | Pharmacist | 49 Pershing Dr, Derby, CT 06418-1406 | 2018-09-20 |
| 1235611971 | David Andrejecsk | Pharmacist | 49 Pershing Dr, Derby, CT 06418-1406 | 2018-08-29 |
| 1912249517 | Dr.dental of Derby P.C. | Dentist | 49 Pershing Dr, Derby, CT 06418-1406 | 2013-03-21 |
| 1437471653 | Liberty Health Supplies LLC | Durable Medical Equipment & Medical Supplies | 49 Pershing Dr, Derby, CT 06418-1437 | 2010-02-16 |
| 1417051608 | Valley Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 49 Pershing Dr, Derby, CT 06418 | 2006-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942839105 | Fnu Prinkiya | Student in an Organized Health Care Education/Training Program | Griffin Hospital. 130 Division St, Derby, CT 06418 | 2020-04-08 |
| 1942837935 | Ivanshi A Gondalia | Student in an Organized Health Care Education/Training Program | Griffin Hospital, 130 Division St, Derby, CT 06418 | 2020-03-27 |
| 1972168094 | Pir Saad | Student in an Organized Health Care Education/Training Program | C/o Margie Bliga, Department of Medical Education, Griffin Hospital, 130 Division St, Derby, CT 06418 | 2019-05-03 |
| 1295398899 | Ahtsham Yousaf Chaudhary | Student in an Organized Health Care Education/Training Program | 130 Division St, Griffin Hospital, Derby, CT 06418 | 2019-04-18 |
| 1477016376 | Rabia Usman | Student in an Organized Health Care Education/Training Program | 130 Division St. Griffin Hospital, Derby, CT 06418 | 2019-04-09 |
| 1932661428 | Meshal Qaiser | Student in an Organized Health Care Education/Training Program | 130 Division Street Griffin Hospital, Derby, CT 06418 | 2019-04-03 |
| 1275027666 | Victoria Anne Hodge Enquist | Social Worker | 241 Seymour Avenue, Griffin Hospital Iop, Seymour, CT 06418 | 2018-06-19 |
| 1811485758 | Nimeshayan Varatharajah | Student in an Organized Health Care Education/Training Program | Griffin Hospital, 130 Division St., Derby, CT 06418 | 2018-04-26 |
| 1851889836 | Pete Prashamsa Shenoy | Student in an Organized Health Care Education/Training Program | Griffin Hospital (dpt of Graduate Medical Education), 130 Division St., Derby, CT 06418 | 2018-04-25 |
| 1639696594 | Samantha Leigh Bassett | Counselor | 90 Sodom Lane, Derby, CT 06418 | 2017-08-23 |
| Find all providers in zip 06418 | ||||
| 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 |
|---|---|---|---|---|
| 1568579316 | Pharmacon Drug | Pharmacy | 1412 N Woodlawn Blvd, Derby, KS 67037-2922 | 2006-08-25 |
| 1851306070 | Walgreen Co | Pharmacy | 458 N Baltimore Ave, Derby, KS 67037-1606 | 2006-07-29 |
| 1619424298 | Walmart Stores East Lp | Pharmacy | 115 Seymour Drive, Derby, VT 05829-0000 | 2016-09-01 |
| 1194828194 | Pharmacon Drug | Pharmacy | 1101 N Rock Rd, Derby, KS 67037-3735 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918666 | Orangerx Pharmacy Inc | Pharmacy | 240 Indian River Rd Unit F, Orange, CT 06477-3649 | 2020-09-26 |
| 1568072627 | Corporate Pharmacy Corp | Pharmacy | 4 Corporate Dr Ste 198, Shelton, CT 06484-6240 | 2020-08-04 |
| 1669094439 | Cx Pharmacy Corp | Pharmacy | 110 Commerce Dr Ste 250, Shelton, CT 06484-6259 | 2020-05-14 |
| 1932746591 | Nutmeg Pharmacy Moodus LLC | Pharmacy | 38 William F Palmer Rd, Moodus, CT 06469-1131 | 2019-12-03 |
| 1811531544 | Medical Center Pharmacy and Home Care Center, Inc. | Pharmacy | 600 Derby Avenue, West Haven, CT 06516 | 2019-11-06 |
| 1649814633 | Saint Francis Hospital and Medical Center | Pharmacy | 131 Coventry St Ste 2, Hartford, CT 06112-1548 | 2019-11-01 |
| 1336782804 | Royal Pharmacy LLC | Pharmacy | 1420 Meriden Rd, Waterbury, CT 06705-3632 | 2019-10-28 |
| 1760032627 | Westport Apothecary LLC | Pharmacy | 125 Post Rd E, Westport, CT 06880-3410 | 2019-09-12 |
| 1871146803 | Care Plus Rx Solutions LLC | Pharmacy | 250 Indian River Rd, Orange, CT 06477-3627 | 2019-07-18 |
| 1295209773 | Black Rock Pharmacy LLC | Pharmacy | 1838 Black Rock Tpke, Fairfield, CT 06825-3500 | 2019-01-17 |
| Find all providers with the same taxonomy | ||||
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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.