EVESHAM SUPERMARKET LLC NPI 1427248665

NPI Information

  • NPI: 1427248665
  • Provider Name: EVESHAM SUPERMARKET LLC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • :
  • Address: 400 EVESHAM RD
    CHERRY HILL, NJ
    ZIP 08003
  • Phone: (856) 216-0115

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NPI Details

EVESHAM SUPERMARKET LLC is a community/retail pharmacy pharmacy in Cherry Hill, NJ. 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. EVESHAM SUPERMARKET LLC NPI is 1427248665. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

400 EVESHAM RD
CHERRY HILL, NJ
ZIP 08003-010
Phone: (856) 216-0115
Fax: (856) 216-7190

The provider's authorized official is Melissa Figueroa Rivera .
The authorized official title is Third Party Administrator and has the following contact phone number (732) 521-8439.

The enumeration date for this NPI number is 7/25/2007 and was last updated on 9/19/2025.

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
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy28RS00673500NEW JERSEYYes

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
10154296MEDICAIDNEW JERSEY
22056163OTHERPK

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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