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Contact Information

SHOPRITE SUPERMARKETS, INC
10A RT. 23, TRI STATE MALL
MONTAGUE TOWNSHIP, NJ07827
 Phone: 973-293-3273
 Fax: 973-293-7266
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for SHOPRITE SUPERMARKETS, INC

NPI Number 1619082492
LBN Legal business name SHOPRITE SUPERMARKETS, INC
Authorized official MELISSA FIGUEROA RIVERA - (THIRD PARTY ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/20/2006
Last updated 05/26/2010 - About 16 years ago
Identifiers
NJ License # RS006174
NJ Medicaid 7355408
Other 3144514 OTHER ID NUMBER-COMMERCIAL NUMBER
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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