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Contact Information

SHOPRITE SUPERMARKETS, INC
3140 E MAIN ST STE 300
MOHEGAN LAKE, NY10547
 Phone: 914-739-7474
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for SHOPRITE SUPERMARKETS, INC

NPI # 1104965771
LBN Legal business name SHOPRITE SUPERMARKETS, INC
Authorized official MELISSA FIGUEROA RIVERA - (THIRD PARTY ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/06/2007
Last updated 01/16/2019 - About 7 years ago
Identifiers
NY License # 025414
NY Medicaid 00582701
NY Other 3326077 NCPDP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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