KTM II SUPERMARKETS LLC (NPI# 1912285016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912285016 |
| Entity Type | Organization |
| Organization Name | KTM II SUPERMARKETS LLC |
| Other Organization Name | SHOPRITE PHARMACY OF HATFIELD |
| Practice Address |
170 Forty Foot Rd Hatfield PA 19440-2852 |
| Mailing Address |
Po Box 15169 Newark NJ 07192-5169 |
| Practice Telephone | 2153689323 |
| Practice Fax Number | 2153689325 |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2015-11-16 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PP482205 | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1026605040001 | 05 | |
| PK | 2131817 | 01 |
| Other Name | Type Code |
|---|---|
| Shoprite Pharmacy of Hatfield | Doing Business As Name - Organization |
| Street Address |
170 FORTY FOOT RD |
| City | HATFIELD |
| State | PA |
| Zip Code | 19440-2852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669678082 | Paradise Manor | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 206 E. Lincoln Ave, Hatfield, PA 19440 | 2007-06-22 |
| 1093917445 | Stephanie Pellish | Occupational Therapist | 349 Main Street, Hatfield, PA 19440 | 2007-06-05 |
| 1780895474 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1530 Cowpath Rd, Hatfield, PA 19440 | 2007-05-24 |
| 1700094620 | Lauren A. Mcgrann | Physical Therapist | 549 South Main Street, Hatfield, PA 19440 | 2007-05-21 |
| 1316990542 | Steven Sklar | Family Medicine | Main Street Overbrook Road, Hatfield, PA 19440 | 2006-05-18 |
| 1366559965 | Benjamin T Halton | Dentist | Main & Overbrook Rd, Hatfield, PA 19440-0460 | 2006-08-23 |
| 1063529667 | Sklar Family Dentistry LLC | Dentist | Main & Overbrook Rd, Hatfield, PA 19440-0460 | 2006-08-23 |
| 1043790967 | Karen Diane Weiss | Pediatrics | 733 Church Rd, Hatfield, PA 19440-1010 | 2018-08-20 |
| 1346728706 | William Joseph Discavage IIi | Pharmacist | 1515 Bethlehem Pike # 2445, Hatfield, PA 19440-1301 | 2018-07-29 |
| 1538694591 | Smile Exchange of Hatfield | Clinic/Center | 1565 Bethlehem Pike, Hatfield, PA 19440-1301 | 2017-04-27 |
| Find all providers in zip 19440 | ||||
| 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 |
|---|---|---|---|---|
| 1851312821 | Clemens Market Inc | Pharmacy | 1591 Bethlehem Pike, Hatfield, PA 19440-1301 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376143990 | Valerie Hellriegel | Pharmacy | 567 N Route 100, Bechtelsville, PA 19505-9263 | 2020-11-01 |
| 1134729791 | John P Russo | Pharmacy | 608 E Hillcrest Ave, New Castle, PA 16105-2254 | 2020-10-31 |
| 1538769864 | Luzerne Discount Pharmacy Inc | Pharmacy | 101 Main St Unit D, Luzerne, PA 18709-1209 | 2020-10-27 |
| 1417555616 | Dubois Regional Medical Center | Pharmacy | 265 Holiday Inn Drive Route 68, Clarion, PA 16214 | 2020-10-12 |
| 1780290197 | Weis Markets, Inc. | Pharmacy | 112 Atlantic Ave., Dingmans Ferry, PA 18328 | 2020-09-21 |
| 1275146177 | Newport Pharmacy LLC | Pharmacy | 57 S 2nd St, Newport, PA 17074-1402 | 2020-08-28 |
| 1699387779 | Allegheny Valley Hospital Retail Pharmacy | Pharmacy | 1301 Carlisle St Fl 3, Natrona Heights, PA 15065-1152 | 2020-08-19 |
| 1396355426 | Mdk Health | Pharmacy | 3985 Columbia Ave Unit 2, Columbia, PA 17512-9003 | 2020-08-04 |
| 1861000861 | Koso,llc | Pharmacy | 407 Shadeland Ave, Drexel Hill, PA 19026-1437 | 2020-07-16 |
| 1184241408 | Roosevelt Pharmacy LLC | Pharmacy | 2600 Cottman Ave, Philadelphia, PA 19149-1301 | 2020-07-02 |
| 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.