THE STOP & SHOP SUPERMARKET COMPANY LLC NPI 1255363107

NPI Information

NPI: 1255363107
Provider Name: THE STOP & SHOP SUPERMARKET COMPANY LLC
Classification: Pharmacy - 3336C0003X
Specialization: Community/Retail Pharmacy
Entity Type: Organization
:
Address: 101 MARKET ST
NANUET, NY
ZIP 10954
Phone: (845) 624-0659

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NPI Details

THE STOP & SHOP SUPERMARKET COMPANY LLC is a community/retail pharmacy pharmacy in Nanuet, NY. 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 1255363107. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

101 MARKET ST
NANUET, NY
ZIP 10954-801
Phone: (845) 624-0659
Fax: (845) 624-3386

The provider's authorized official is Roger Wheeler .
The authorized official title is President and has the following contact phone number (617) 689-4130.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count (HCPCS:K1034)
Administration of influenza virus vaccine (HCPCS:G0008)
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
Influenza vaccine split virus, preservative free (HCPCS:90662)
Fee covid-19 vac 14 res (HCPCS:0134A)
Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
Fee covid-19 vac 13 res (HCPCS:0124A)
Adm sarscv2 30mcg trs-sucr 1 (HCPCS:0051A)

The enumeration date for this NPI number is 7/7/2006 and was last updated on 10/31/2025.

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	333600000X	Pharmacy		24360	NEW YORK	No
2	332B00000X	Durable Medical Equipment & Medical Supplies		24360	NEW YORK	No
3	3336C0003X	Pharmacy	Community/Retail Pharmacy	24360	NEW YORK	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	01985299	MEDICAID	NEW YORK
2	3306380	OTHER		OTHER 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: 11/21/2025

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