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THE STOP & SHOP SUPERMARKET COMPANY LLC NPI 1720038672


NPI Information

NPI: 1720038672
Provider Name: THE STOP & SHOP SUPERMARKET COMPANY LLC

Doing Business As: STOP & SHOP PHARMACY #696

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 07D2016834

Address:
460 ELM ST
WEST HAVEN, CT
ZIP 06516
Phone: (203) 931-9478
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THE STOP & SHOP SUPERMARKET COMPANY LLC is a community/retail pharmacy pharmacy in West Haven, 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. THE STOP & SHOP SUPERMARKET COMPANY LLC NPI is 1720038672. The provider is registered as an organization entity type.
The provider Is Doing Business As Stop & Shop Pharmacy #696.

The provider's business location address is:

460 ELM ST
WEST HAVEN, CT
ZIP 06516-233
Phone: (203) 931-9478
Fax: (203) 937-0855

The provider's authorized official is Alison Farrell .
The authorized official title is Director, Pharmacy Third Party and has the following contact phone number (717) 240-1526.

The CLIA number assigned to this NPI record is 07D2016834 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/11/2006 and was last updated on 1/8/2014.


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 Supplies2048CONNECTICUTNo
23336C0003XPharmacyCommunity/Retail Pharmacy2048CONNECTICUTYes

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
10720501OTHERCONNECTICUTNCPDP
20575340309MEDICARE NSCCONNECTICUT
3004260840MEDICAIDCONNECTICUT

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.