NPI Database
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Contact Information

THE STOP & SHOP SUPERMARKET COMPANY, LLC
100 MAIN STREET-NORTH
SOUTHBURY, CT06488
 Phone: 203-262-4559
 Fax: 203-262-4561
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for THE STOP & SHOP SUPERMARKET COMPANY, LLC

NPI Number 1639101504
LBN Legal business name THE STOP & SHOP SUPERMARKET COMPANY, LLC
Authorized official BOB STONE - (DIR 3RD PARTY MANAGED CARE)
Entity Organization
Organization subpart 1 No
Enumeration date 07/07/2006
Last updated 10/31/2024 - More than a year ago
Identifiers
CT License # 2018
CT Medicaid 004252954
Other 0720361 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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