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FIVE STAR SUPERMARKETS OF CLINTON LLC NPI 1487977419


NPI Information

NPI: 1487977419
Provider Name: FIVE STAR SUPERMARKETS OF CLINTON LLC

Doing Business As: SHOPRITE PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
266 E MAIN ST
CLINTON, CT
ZIP 06413
Phone: (860) 669-6619
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FIVE STAR SUPERMARKETS OF CLINTON LLC is a community/retail pharmacy pharmacy in Clinton, 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. FIVE STAR SUPERMARKETS OF CLINTON LLC NPI is 1487977419. The provider is registered as an organization entity type.
The provider Is Doing Business As Shoprite Pharmacy.

The provider's business location address is:

266 E MAIN ST
CLINTON, CT
ZIP 06413-254
Phone: (860) 669-6619
Fax: (860) 669-1368

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 3/4/2010 and was last updated on 7/19/2018.


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
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyPCY0002169CONNECTICUTYes

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
12124371OTHERPK
2008022672MEDICAIDCONNECTICUT

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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