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SHOPRITE PHARMACY 145 NPI 1881709665


NPI Information

NPI: 1881709665
Provider Name: SHOPRITE PHARMACY 145

Doing Business As: SHOPRITE PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
2424 HYLAN BLVD
STATEN ISLAND, NY
ZIP 10306
Phone: (718) 979-0718
Get Directions

SHOPRITE PHARMACY 145 is a pharmacy in Staten Island, NY. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. SHOPRITE PHARMACY 145 NPI is 1881709665. The provider is registered as an organization entity type.
The provider Is Doing Business As Shoprite Pharmacy.

The provider's business location address is:

2424 HYLAN BLVD
STATEN ISLAND, NY
ZIP 10306-117
Phone: (718) 979-0718
Fax: (718) 979-5462

The provider's authorized official is Mona Gadkari .
The authorized official title is Third Party Administrator and has the following contact phone number (732) 521-8448.

The enumeration date for this NPI number is 8/20/2006 and was last updated on 8/22/2020.


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
1333600000XPharmacy24150NEW YORKYes
23336C0003XPharmacyCommunity/Retail PharmacyX

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
101912629MEDICAIDNEW YORK
23301645OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

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.