STOP AND SHOP SUPERMARKET CO LLC NPI 1720010697

NPI Information

NPI: 1720010697
Provider Name: STOP AND SHOP SUPERMARKET CO LLC

Doing Business As: STOP AND SHOP PHARMACY #695

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
275 HIGHLAND AVE
CHESHIRE, CT
ZIP 06410
Phone: (203) 272-3697
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STOP AND SHOP SUPERMARKET CO LLC is a community/retail pharmacy pharmacy in Cheshire, 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 1720010697. The provider is registered as an organization entity type.
The provider Is Doing Business As Stop And Shop Pharmacy #695.

The provider's business location address is:

275 HIGHLAND AVE
CHESHIRE, CT
ZIP 06410-522
Phone: (203) 272-3697
Fax: (203) 272-4569

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 10/24/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies		PCY1994	CONNECTICUT	No
2	333600000X	Pharmacy		PCY1994	CONNECTICUT	No
3	3336C0003X	Pharmacy	Community/Retail Pharmacy	PCY1994	CONNECTICUT	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0720323	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER
2	004251922	MEDICAID	CONNECTICUT
3	0575340284	MEDICARE NSC	CONNECTICUT

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

NPI Synchronization or Removal

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