THE STOP AND SHOP SUPERMARKET CO LLC (NPI# 1679505523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679505523 |
| Entity Type | Organization |
| Organization Name | THE STOP AND SHOP SUPERMARKET CO LLC |
| Other Organization Name | STOP AND SHOP PHARMACY 801 |
| Practice Address |
100 Us Route 36 Keyport NJ 07735-1420 |
| Practice Telephone | 7323354281 |
| Practice Fax Number | 7323354292 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2011-09-23 |
| 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 | RS05647 | NJ | Suppliers |
| N | 333600000X | Pharmacy | RS05647 | NJ | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
RS05647 | NJ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3142899 | 01 | |
| NJ | 8489408 | 05 |
| Other Name | Type Code |
|---|---|
| STOP AND SHOP PHARMACY 801 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972535854 | The Stop and Shop Supermarket Co LLC | Durable Medical Equipment & Medical Supplies | 1100 Massachusetts Ave, Dorchester, MA 02125-1606 | 2006-07-07 |
| 1336518174 | The Stop and Shop Supermarket Co LLC | Durable Medical Equipment & Medical Supplies | 13440 Springfield Blvd, Springfield Gardens, NY 11413-1403 | 2015-09-23 |
| 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 |
100 US ROUTE 36 |
| City | KEYPORT |
| State | NJ |
| Zip Code | 07735-1420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861971756 | Madeleine Rebecca Eugene | Nurse Practitioner | 805 Prospect Ave, Cliffwood Beach, NJ 07735 | 2018-08-10 |
| 1992223515 | Erin M Swetits | Social Worker | 261 Broad St., Keyport, NJ 07735 | 2017-09-04 |
| 1700300324 | Scott James Abela | Counselor | 402 Route 35, Neptune, NJ 07735 | 2017-07-26 |
| 1467808899 | Desiree Meek | Speech-Language Pathologist | 472 Garden Place, Keyport, NJ 07735 | 2016-05-04 |
| 1174915326 | Alla Ready | Dietitian, Registered | 905 Harris Ave, Union Beach, NJ 07735 | 2015-02-25 |
| 1306912514 | Endeavor House | Clinic/Center | No 6 Broadway, Keyport, NJ 07735 | 2006-11-28 |
| 1124114418 | Barbara K Currie | Chiropractor | 6 East Front Street, Keyport, NJ 07735 | 2006-10-05 |
| 1003867250 | Visiting Nurse Association of Central Jersey Community Health Center I | Clinic/Center | 35 Broad Street, Keyport, NJ 07735 | 2006-05-12 |
| 1245712611 | Gina Tremaine | Nurse Practitioner | 48 Washington St, Keyport, NJ 07735-1031 | 2018-09-03 |
| 1659564821 | John A Barone | Nurse Practitioner | 69 Washington St, Keyport, NJ 07735-1032 | 2007-08-22 |
| Find all providers in zip 07735 | ||||
| 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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| 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.