Provider Type Icon

STOP AND SHOP SUPERMARKET CO LLC NPI 1457721680


NPI Information

NPI: 1457721680
Provider Name: STOP AND SHOP SUPERMARKET CO LLC

Doing Business As: STOP & SHOP PHARMACY 2595

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
1351 FOREST AVE
STATEN ISLAND, NY
ZIP 10302
Phone: (718) 448-6758
Get Directions

STOP AND SHOP SUPERMARKET CO LLC is a community/retail pharmacy pharmacy in Staten Island, NY. The provider is 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. STOP AND SHOP SUPERMARKET CO LLC NPI is 1457721680. The provider is registered as an organization entity type.
The provider Is Doing Business As Stop & Shop Pharmacy 2595.

The provider's business location address is:

1351 FOREST AVE
STATEN ISLAND, NY
ZIP 10302-049
Phone: (718) 448-6758
Fax: (718) 981-0540

The provider's authorized official is Raymond Mccall .
The authorized official title is Third Party Coordinator and has the following contact phone number (717) 960-5666.

The enumeration date for this NPI number is 9/30/2015 and was last updated on 4/19/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1FT5738971OTHERNEW YORKDEA LICENSE
2034058OTHERNEW YORKSTATE LICENSE
30575340347MEDICARE NSCNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.