STOP AND SHOP SUPERMARKET CO LLC (NPI# 1689606550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689606550 |
| Entity Type | Organization |
| Organization Name | STOP AND SHOP SUPERMARKET CO LLC |
| Other Organization Name | STOP AND SHOP PHARMACY #662 |
| Practice Address |
380 Main Ave Norwalk CT 06851-1511 |
| Practice Telephone | 2038498735 |
| Practice Fax Number | 2038497629 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2011-10-26 |
| 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 | 1574 | CT | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 1574 | CT | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
1574 | CT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 940004157188 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0716653 | 01 |
| Other Name | Type Code |
|---|---|
| STOP AND SHOP PHARMACY #662 | 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 |
380 MAIN AVE |
| City | NORWALK |
| State | CT |
| Zip Code | 06851-1511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144763434 | Cynthia Eliezer | Student in an Organized Health Care Education/Training Program | 120 East Ave 2nd Flr., Norwalk, CT 06851 | 2016-11-18 |
| 1356897672 | Be Balanced Naturopathic Care Center, LLC | Naturopath | 91 East Ave, Garden Level, Norwalk, CT 06851 | 2016-08-28 |
| 1861843559 | Valerie Andree Vincent | Student in an Organized Health Care Education/Training Program | 120 East Avenue-2nd Floor, Catholic Charities, Norwalk, CT 06851 | 2016-06-24 |
| 1417333758 | Laura Rebecca Nierenberg Fishman | Marriage & Family Therapist | 161 East Avenue, Suite 101, Norwalk, CT 06851 | 2015-08-10 |
| 1487085411 | Danielle Christine Boland | Social Worker | 206 Wolfpit Avenue, Norwalk, CT 06851 | 2013-12-02 |
| 1427485846 | Michelle Clement | Technician/Technologist | 650 Main Avenue, Norwalk, CT 06851 | 2013-09-30 |
| 1932447430 | Rebecca Roessler Velasquez | Social Worker | 225 W Rocks Rd, Norwalk, CT 06851 | 2013-01-18 |
| 1275809154 | Tiffany A. Mccarty | Social Worker | 166 East Ave Ste 204, Norwalk, CT 06851 | 2012-03-26 |
| 1356573547 | Cheree Louise Fenske | Clinical Neuropsychologist | 761 Main Ave Ste 104, Norwalk, CT 06851 | 2009-08-20 |
| 1083869572 | Carol Lynne Cooper | Obstetrics & Gynecology | 17 North Ave., Norwalk, CT 06851 | 2008-11-25 |
| Find all providers in zip 06851 | ||||
| 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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| 1326287251 | Devi Usa Inc | Pharmacy | 13564 Pumice St, Norwalk, CA 90650-5249 | 2009-02-17 |
| 1821294620 | Walgreen Co. | Pharmacy | 4 E League St, Norwalk, OH 44857-1308 | 2007-06-27 |
| 1225102742 | K&s Health Group, Inc | Pharmacy | 12519 Alondra Blvd, Norwalk, CA 90650-7351 | 2006-11-17 |
| 1649374547 | Connecticut Cvs Pharmacy, L.L.C. | Pharmacy | 327 Main Ave, Norwalk, CT 06851-6156 | 2006-09-12 |
| 1154424851 | Ohio Cvs Stores LLC | Pharmacy | 106 Milan Ave, Norwalk, OH 44857-1732 | 2006-09-07 |
| 1902916513 | Costco Wholesale Corporation | Pharmacy | 779 Connecticut Ave, Norwalk, CT 06854-1615 | 2006-08-30 |
| 1548206600 | Garfield Beach Cvs LLC | Pharmacy | 11011 Alondra Blvd, Norwalk, CA 90650-6202 | 2006-06-20 |
| 1831132034 | Garfield Beach Cvs LLC | Pharmacy | 11623 East Rosecrans Boulevard, Norwalk, CA 90650 | 2006-06-14 |
| Find all providers in NORWALK | ||||
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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.