SHAWS SUPERMARKETS INC (NPI# 1699721241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699721241 |
| Entity Type | Organization |
| Organization Name | SHAWS SUPERMARKETS INC |
| Other Organization Name | OSCO PHARMACY #3483 |
| Practice Address |
55 Crystal Ave Derry NH 03038 |
| Mailing Address |
250 E Parkcenter Blvd Mailstop Sec2-b Boise ID 83706-3940 |
| Practice Telephone | 6034379654 |
| Practice Fax Number | 6034377076 |
| Mailing Telephone | 2083956200 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2018-06-27 |
| Authorized Official Name | TIFFANY ELIOPULOS (ENROLLMENT ASSISTANT MANAGER) |
| Authorized Official Telephone | 2083953906 |
| 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 |
0585P | NH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 3074455 | 05 | |
| PK | 2053525 | 01 |
| Other Name | Type Code |
|---|---|
| OSCO PHARMACY #3483 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316098056 | Shaws Supermarkets Inc | Durable Medical Equipment & Medical Supplies | 2077 Main St, Brockton, MA 02301-7161 | 2007-01-16 |
| 1154419240 | Shaws Supermarkets Inc | Durable Medical Equipment & Medical Supplies | 11 E High St, East Hampton, CT 06424-1022 | 2006-10-11 |
| 1902994098 | Shaws Supermarkets Inc | Durable Medical Equipment & Medical Supplies | 417 Payne Rd, Scarborough, ME 04074 | 2006-10-11 |
| 1487742599 | Shaws Supermarkets Inc | Durable Medical Equipment & Medical Supplies | 35 Columbia Rd, Hanover, MA 02339-2317 | 2006-10-11 |
| 1356432231 | Shaws Supermarkets Inc | Durable Medical Equipment & Medical Supplies | 250 E Parkcenter Blvd, Boise, ID 83706-3940 | 2006-09-27 |
| 1497776850 | Shaws Supermarkets Inc | Durable Medical Equipment & Medical Supplies | 134 Water St, Wakefield, MA 01880 | 2006-07-21 |
| 1689695041 | Shaws Supermarkets Inc | Durable Medical Equipment & Medical Supplies | 1108 State Rd, South Yarmouth, MA 02664 | 2006-07-21 |
| 1396766754 | Shaws Supermarkets Inc | Durable Medical Equipment & Medical Supplies | 1328 Hooksett Rd, Hooksett, NH 03106-1815 | 2006-07-21 |
| 1598705782 | Shaws Supermarkets Inc | Durable Medical Equipment & Medical Supplies | 160 Paine Tpke N, Berlin, VT 05602 | 2006-06-07 |
| 1306884325 | Shaws Supermarkets Inc | Durable Medical Equipment & Medical Supplies | 7 Continental Blvd, Merrimack, NH 03054 | 2006-06-02 |
| Street Address |
55 CRYSTAL AVE |
| City | DERRY |
| State | NH |
| Zip Code | 03038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134581879 | Valerie Tay | Pharmacist | 55 Crystal Ave, Derry, NH 03038-1702 | 2016-03-22 |
| 1477850576 | Dawn M Horak | Behavioral Analyst | 55 Crystal Ave, Suite 180, Derry, NH 03038-1702 | 2011-02-25 |
| 1720206329 | Brian Cooper | Pharmacist | 55 Crystal Ave, Derry, NH 03038-1702 | 2007-04-22 |
| 1831276922 | Eye Care Associates of Derry PC | Optometrist | 55 Crystal Ave, Hood Commons, Derry, NH 03038-1702 | 2006-11-01 |
| 1336226547 | Keith Alan Emery | Optometrist | 55 Crystal Ave, Hood Commons, Derry, NH 03038-1702 | 2006-11-01 |
| 1861579070 | Diane J Nelson | Optometrist | 55 Crystal Ave, Hood Commons, Derry, NH 03038-1702 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750922142 | Derry Surgical Center, LLC | Clinic/Center | 15 Tsienneto Road, Derry, NH 03038 | 2019-10-07 |
| 1265941769 | Shireen Kirata | Physician Assistant | Lahey Institute of Urology, Derry, 44 Birch Street, Derry, NH 03038 | 2017-09-27 |
| 1538615133 | Louise Dinsmore | Pharmacist | 48 East Broadway, Derry, NH 03038 | 2016-09-01 |
| 1295188852 | Lauren Manney | Pharmacist | 48 E. Broadway, Derry, NH 03038 | 2016-07-19 |
| 1396104857 | Simply Orthodontics, Nh, PC | Dentist | 8 Crystal Ave, Derry, NH 03038 | 2016-02-12 |
| 1659766996 | Beverly Stasia Weston | Adult Companion | 60 Frost Rd, Derry, NH 03038 | 2015-04-03 |
| 1639580038 | Tricia Lane | Nurse Practitioner | 1 Parkland Drive, Derry, NH 03038 | 2014-05-20 |
| 1841620382 | Rothenwitz Dental Partnership | Dentist | 19d Manchester Rd, Suite 3, Derry, NH 03038 | 2013-11-20 |
| 1184934978 | Colleen Summers | Nurse Practitioner | 6 Tsiennto Road, Suite 101ll, Derry, NH 03038 | 2010-10-14 |
| 1609016922 | Bethany Lynne Layne | Physical Therapist | 8 White Oak Lane, Derry, NH 03038 | 2009-02-26 |
| Find all providers in zip 03038 | ||||
| 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 |
|---|---|---|---|---|
| 1285733592 | Cvs Manchester Nh, L.L.C. | Pharmacy | 15 Crystal Ave, Derry, NH 03038-2415 | 2006-09-22 |
| 1922411586 | Rite Aid of Pennsylvania LLC | Pharmacy | 222 Y St, Derry, PA 15627-1259 | 2014-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477027852 | Premier Pharmacy LLC | Pharmacy | 53 Stiles Rd Ste B102, Salem, NH 03079-2890 | 2019-01-18 |
| 1326525551 | Genoa Healthcare, LLC | Pharmacy | 10 West St Ste P, Concord, NH 03301-3548 | 2018-07-20 |
| 1134606379 | Genoa Healthcare, LLC | Pharmacy | 17 93rd St Rm 234, Keene, NH 03431-3989 | 2018-07-20 |
| 1861979015 | Genoa Healthcare, LLC | Pharmacy | 52 W Pleasant St Ste P, Claremont, NH 03743-3055 | 2018-07-20 |
| 1922500701 | Imperial Rx LLC | Pharmacy | 182 Rockingham Rd Unit 2, Londonderry, NH 03053-2155 | 2018-03-07 |
| 1639420029 | Roberts Scarlett Pharmacy Inc | Pharmacy | 276 Newport Rd Ste 109, New London, NH 03257-5468 | 2012-09-25 |
| 1114236684 | Care Pharmacy | Pharmacy | 36 Center St, Wolfeboro Falls, NH 03896-1012 | 2010-10-01 |
| 1265749949 | Apothecary Central LLC | Pharmacy | 43 Allenstown Rd Ste 2, Allenstown, NH 03275-1812 | 2010-09-01 |
| 1205158490 | Warner Pharmacy | Pharmacy | 11 E. Main St, Warner, NH 03278 | 2010-02-16 |
| 1407005150 | Cvs Manchester Nh LLC | Pharmacy | 125 Dublin Rd, Peterborough, NH 03458-1343 | 2008-09-17 |
| 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.