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STOP AND SHOP SUPERMARKET CO LLC NPI 1487686358


NPI Information

NPI: 1487686358
Provider Name: STOP AND SHOP SUPERMARKET CO LLC

Doing Business As: STOP AND SHOP PHARMACY #654

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
485 BROAD ST
MERIDEN, CT
ZIP 06450
Phone: (203) 238-1261
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STOP AND SHOP SUPERMARKET CO LLC is a community/retail pharmacy pharmacy in Meriden, CT. 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 1487686358. The provider is registered as an organization entity type.
The provider Is Doing Business As Stop And Shop Pharmacy #654.

The provider's business location address is:

485 BROAD ST
MERIDEN, CT
ZIP 06450-801
Phone: (203) 238-1261
Fax: (203) 238-1318

The provider's authorized official is Brad Dayton .
The authorized official title is Director and has the following contact phone number (617) 770-8782.

The enumeration date for this NPI number is 7/7/2006 and was last updated on 10/20/2011.


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 Supplies1729CONNECTICUTNo
2333600000XPharmacy1729CONNECTICUTNo
33336C0003XPharmacyCommunity/Retail Pharmacy1729CONNECTICUTYes

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
10575340146MEDICARE NSCCONNECTICUT
20718328OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
3940004197803MEDICAIDCONNECTICUT

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: 4/28/2024

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