Provider Type Icon

STOP AND SHOP SUPERMARKET CO LLC NPI 1255363123


NPI Information

NPI: 1255363123
Provider Name: STOP AND SHOP SUPERMARKET CO LLC

Doing Business As: STOP AND SHOP PHARMACY #22

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 22D2187396

Address:
55 LONG POND DR
S YARMOUTH, MA
ZIP 02664
Phone: (508) 394-8909
Get Directions

STOP AND SHOP SUPERMARKET CO LLC is a community/retail pharmacy pharmacy in S Yarmouth, 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 1255363123. The provider is registered as an organization entity type.
The provider Is Doing Business As Stop And Shop Pharmacy #22.

The provider's business location address is:

55 LONG POND DR
S YARMOUTH, MA
ZIP 02664-161
Phone: (508) 394-8909
Fax: (508) 394-9035

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 CLIA number assigned to this NPI record is 22D2187396 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/7/2006 and was last updated on 10/20/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacy2115MASSACHUSETTSNo
2332B00000XDurable Medical Equipment & Medical Supplies2115MASSACHUSETTSNo
33336C0003XPharmacyCommunity/Retail Pharmacy2115MASSACHUSETTSYes

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
12231520OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
20439568MEDICAIDMASSACHUSETTS
30575340018MEDICARE 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: 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.