Provider Type Icon

STOP & SHOP SUPERMARKET COMPANY LLC NPI 1407888373


NPI Information

NPI: 1407888373
Provider Name: STOP & SHOP SUPERMARKET COMPANY LLC

Doing Business As: STOP AND SHOP PHARMACY #689

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 07D2122612

Address:
286 BROAD ST
MANCHESTER, CT
ZIP 06040
Phone: (860) 647-0325
Get Directions

STOP & SHOP SUPERMARKET COMPANY LLC is a community/retail pharmacy pharmacy in Manchester, 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. STOP & SHOP SUPERMARKET COMPANY LLC NPI is 1407888373. The provider is registered as an organization entity type.
The provider Is Doing Business As Stop And Shop Pharmacy #689.

The provider's business location address is:

286 BROAD ST
MANCHESTER, CT
ZIP 06040-034
Phone: (860) 647-0325
Fax: (860) 533-7185

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 07D2122612 - 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 5/5/2023.


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
1332B00000XDurable Medical Equipment & Medical Supplies1452CONNECTICUTNo
2333600000XPharmacy1452CONNECTICUTNo
33336C0003XPharmacyCommunity/Retail Pharmacy1452CONNECTICUTYes

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
10714522OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
2940004122438MEDICAIDCONNECTICUT

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: 5/5/2024

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.