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Contact Information

THE STOP & SHOP SUPERMARKET COMPANY, LLC
245 VINEYARD HAVEN ROAD
EDGARTOWN, MA02539
 Phone: 508-627-5107
 Fax: 508-627-4353
 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 # 1770515660
LBN Legal business name THE STOP & SHOP SUPERMARKET COMPANY, LLC
Authorized official ROGER WHEELER - (PRESIDENT OF PHARMACY)
Entity Organization
Organization subpart 1 No
Enumeration date 07/07/2006
Last updated 04/09/2025 - More than a year ago
Identifiers
MA License # 3368
MA Medicaid 0407364
Other 2240769 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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