INSERRA SUPERMARKETS INC. (NPI# 1790823706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790823706 |
| Entity Type | Organization |
| Organization Name | INSERRA SUPERMARKETS INC. |
| Other Organization Name | SHOPRITE PHARMACY OF LODI |
| Practice Address |
175 Main Street Lodi NJ 07644 |
| Mailing Address |
Po Box 8500-51250 Philadelphia PA 19178-0001 |
| Practice Telephone | 9733652289 |
| Practice Fax Number | 9733650925 |
| Mailing Telephone | 9733652289 |
| Mailing Fax Number | 9733650925 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2011-08-03 |
| 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 |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | RS003702 | NJ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | MEDICAID DME | 4366310 | 01 |
| NJ | 4366301 | 05 | |
| NJ | NCPDP | 3127241 | 01 |
| Other Name | Type Code |
|---|---|
| ShopRite Pharmacy of Lodi | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821103607 | Inserra Supermarkets Inc. | Pharmacy | 400 Marin Blvd, Jersey City, NJ 07302-2546 | 2006-08-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Retail Food Store | INSERRA SUPERMARKETS INC | 250 RT 59 SUITE 130 SUFFERN NY 10901 |
| Street Address |
175 MAIN STREET |
| City | LODI |
| State | NJ |
| Zip Code | 07644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215437553 | Hmh Residential Care, Inc | Home Infusion | 80 Industrial Rd Ste G, Lodi, NJ 07644 | 2018-02-13 |
| 1710396544 | Oriana Szufa | Physical Therapy Assistant | 66 Trudy Dr, Lodi, NJ 07644 | 2014-08-06 |
| 1235413261 | Seon-jin Kim | Pharmacist | 20 Arnot Street, Lodi, NJ 07644 | 2011-10-10 |
| 1942304050 | Kimberley Anne Careccia | Physical Therapist | 361 Garbaldi Ave, Lodi, NJ 07644 | 2006-09-11 |
| 1760595888 | Ronald A. Rigolosi | Internal Medicine | 4 Hunter Street, 2a, Lodi, NJ 07644 | 2006-08-15 |
| 1447265434 | Walgreen Eastern Co, Inc | Durable Medical Equipment & Medical Supplies | 20 Arnot St, Lodi, NJ 07644 | 2006-07-29 |
| 1386144038 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 221 Main St, Lodi, NJ 07644 | 2018-02-20 |
| 1326287483 | Christophe S Oliveira | Chiropractor | 1 South Main Street, Suite 1, Lodi, NJ 07644 | 2009-02-13 |
| 1982744413 | Anthony J Campanella | Internal Medicine | 116 Terrace Ave, Lodi, NJ 07644 | 2007-02-07 |
| 1356413777 | Senior Care Dental | Dentist | 345 Passaic Ave, 1st Fl, Lodi, NJ 07644 | 2006-11-14 |
| Find all providers in zip 07644 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831694546 | Essex Rx Care Inc | Pharmacy | 324 Essex St, Lodi, NJ 07644-2702 | 2018-03-26 |
| 1144770553 | Lodi Hometown Pharmacy LLC | Pharmacy | 801 N Main St Ste A, Lodi, WI 53555-1279 | 2016-10-10 |
| 1225327885 | Coremed Pharmacy Services | Pharmacy | 911 Industrial Way, Suite G, Lodi, CA 95240-3121 | 2011-04-05 |
| 1003801739 | Woodbridge Pharmacy | Pharmacy | 2401 W Turner Rd, Suite 290, Lodi, CA 95242-2182 | 2005-09-19 |
| 1164453270 | K Mart Corp | Pharmacy | 520 S Cherokee Lane, Lodi, CA 95240 | 2006-07-06 |
| 1003846858 | Lodi Memorial Hospital Association Inc | Pharmacy | 2415 W Vine St, 104b, Lodi, CA 95242-3731 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801495544 | Medilink Rxcare Hammonton, LLC | Pharmacy | 44 S White Horse Pike, Hammonton, NJ 08037-1845 | 2020-10-23 |
| 1770193757 | Rvl Pharmacy | Pharmacy | 2500 Main St Ste 10, Sayreville, NJ 08872-1473 | 2020-08-05 |
| 1043828577 | Siddhivinayak Inc. | Pharmacy | 90 Bergen St # 1600, Newark, NJ 07103-2425 | 2020-07-21 |
| 1891303616 | Amwell Pharmacy Inc. | Pharmacy | 438 Route 206 Ste 3, Hillsborough, NJ 08844-5525 | 2020-07-17 |
| 1366066235 | Brx LLC | Pharmacy | 250 Chambers Bridge Rd, Brick, NJ 08723 | 2020-06-05 |
| 1982237103 | Holmdel Pharmacy and Deli LLC | Pharmacy | 487 Middle Rd, Hazlet, NJ 07730-2426 | 2020-02-17 |
| 1184254575 | Frrx LLC | Pharmacy | 76 W Gilbert St, Tinton Falls, NJ 07701-4918 | 2020-01-24 |
| 1841820388 | Ewing Pharmacy LLC | Pharmacy | 1400 Parkway Ave Ste A2, Ewing, NJ 08628-3021 | 2020-01-23 |
| 1982240735 | Elite Rx LLC | Pharmacy | 2282 Hamburg Tpke Ste E, Wayne, NJ 07470-6291 | 2019-11-26 |
| 1629626163 | Meadowlands Pharmacy LLC | Pharmacy | 40, Meadowlands Pkway, Secaucus, NJ 07094 | 2019-08-28 |
| 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.