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STOP AND SHOP SUPERMARKET CO LLC NPI 1083646954


NPI Information

NPI: 1083646954
Provider Name: STOP AND SHOP SUPERMARKET CO LLC

Doing Business As: STOP & SHOP PHARMACY 2418

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 22D1005116

Address:
126 MEDWAY RD
MILFORD, MA
ZIP 01757
Phone: (508) 478-5748
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STOP AND SHOP SUPERMARKET CO LLC is a community/retail pharmacy pharmacy in Milford, MA. 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 1083646954. The provider is registered as an organization entity type.
The provider Is Doing Business As Stop & Shop Pharmacy 2418.

The provider's business location address is:

126 MEDWAY RD
MILFORD, MA
ZIP 01757-915
Phone: (508) 478-5748
Fax: (508) 478-3721

The provider's authorized official is Andy Markievich .
The authorized official title is Director and has the following contact phone number (717) 240-1543.

The CLIA number assigned to this NPI record is 22D1005116 - health fair with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/7/2006 and was last updated on 11/30/2017.


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 Supplies1621MASSACHUSETTSNo
2333600000XPharmacy1621MASSACHUSETTSNo
33336C0003XPharmacyCommunity/Retail Pharmacy1621MASSACHUSETTSYes

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
12228686OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
20435708MEDICAIDMASSACHUSETTS
30575340014MEDICARE NSCMASSACHUSETTS

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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