STOP AND SHOP SUPERMARKET CO LLC (NPI# 1932131802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932131802 |
| Entity Type | Organization |
| Organization Name | STOP AND SHOP SUPERMARKET CO LLC |
| Other Organization Name | STOP AND SHOP PHARMACY #663 |
| Practice Address |
1360 E Town Rd Milford CT 06460-3623 |
| Mailing Address |
1149 Harrisburg Pike Carlisle PA 17013-1607 |
| Practice Telephone | 2038771912 |
| Practice Fax Number | 2038747438 |
| Mailing Telephone | 7172405520 |
| Mailing Fax Number | 7179608371 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2014-01-08 |
| Authorized Official Name | ALISON FARRELL (DIRECTOR, PHARMACY THIRD PARTY) |
| Authorized Official Telephone | 7172405520 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 1622 | CT | Suppliers |
| N | 333600000X | Pharmacy | 1622 | CT | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
1622 | CT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0717148 | 01 | |
| CT | 940004173986 | 05 |
| Other Name | Type Code |
|---|---|
| STOP AND SHOP PHARMACY #663 | 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 |
1360 E TOWN RD |
| City | MILFORD |
| State | CT |
| Zip Code | 06460-3623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013494277 | Roman Kowcz | Pharmacist | 1360 E Town Rd, Milford, CT 06460-3623 | 2018-07-20 |
| 1881180453 | Amy Cheng Wong | Pharmacist | 1360 E Town Rd, Milford, CT 06460-3623 | 2018-07-07 |
| 1619462744 | Michael James O'keefe | Pharmacist | 1360 E Town Rd, Milford, CT 06460-3623 | 2018-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326678616 | Tracy Southworth | Social Worker | 4 Oxford Road, Suite B-6, Milford Ct, CT 06460 | 2020-01-25 |
| 1598301707 | Mahboob Ur Rehman | Pharmacist | 1082 Boston Post Road, Milford, CT 06460 | 2019-11-22 |
| 1750800223 | Caitlin E Kingston | Counselor | 48 Argyle Rd, Milford, CT 06460 | 2017-09-15 |
| 1912437609 | Vanessa Elizabeth Kellas | Counselor | 949 Bridgport Ave, Milford, CT 06460 | 2017-06-14 |
| 1548634454 | Rian Degroat | Case Manager/Care Coordinator | 949-941 Bridgeport Ave, Milford, CT 06460 | 2015-11-17 |
| 1619354446 | Stephanie Meoli | Occupational Therapist | 195 Platt Street, Milford, CT 06460 | 2015-04-30 |
| 1588069298 | Elizabeth Laliberte | Counselor | 37 Bridgeport Ave, 2nd Floor, Milford, CT 06460 | 2014-10-24 |
| 1366869851 | Chamonix Sikora | Speech-Language Pathologist | 8b Church Street South, Westport, CT 06460 | 2014-03-24 |
| 1528404688 | Alexandra Garces | Nutritionist | 150 New Haven Avenue, Milford, CT 06460 | 2013-05-16 |
| 1598100869 | Seabright Cardiovascular Center, LLC | Internal Medicine | 353 Bridgeport Ave, Milford, CT 06460 | 2013-05-01 |
| Find all providers in zip 06460 | ||||
| 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 |
|---|---|---|---|---|
| 1992275259 | Rodeanpharma LLC | Pharmacy | 105 E Main St Unit A, Milford, MA 01757-2709 | 2018-11-29 |
| 1962984062 | Ekantik LLC | Pharmacy | 692 N Dupont Blvd # 692, Milford, DE 19963-1002 | 2018-09-05 |
| 1578695623 | Holland Center Rx LLC | Pharmacy | 621 Milford Warren Glen Rd, Milford, NJ 08848-1631 | 2007-03-12 |
| 1982731766 | Pillbox Pharmacies, Inc. | Pharmacy | 108 S. Main St., Milford, IN 46580 | 2007-02-27 |
| 1881735975 | Jeanne Laurette Vanhoveln | Pharmacy | 105 E Jones St, Milford, IL 60953-1047 | 2007-02-09 |
| 1386729671 | Milford Pharmacy Inc | Pharmacy | 112 Ne Front St, Milford, DE 19963-1430 | 2006-10-26 |
| 1609969971 | Omshree Corporation | Pharmacy | 10 Se Front St, Milford, DE 19963-1942 | 2006-10-01 |
| 1023117488 | Cvs Pharmacy Inc | Pharmacy | 50 Medway Rd, Milford, MA 01757-2918 | 2006-09-22 |
| 1225140148 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 720 General Motors Rd, Milford, MI 48381-2220 | 2006-08-31 |
| 1376653980 | Costco Wholesale Corporation | Pharmacy | 1718 Boston Post Rd, Milford, CT 06460-2718 | 2006-08-30 |
| Find all providers in MILFORD | ||||
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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.