Provider Type Icon

FIVE STAR SUPERMARKETS OF NEW LONDON INC NPI 1639268097


NPI Information

NPI: 1639268097
Provider Name: FIVE STAR SUPERMARKETS OF NEW LONDON INC

Doing Business As: SHOP RITE PHARMACY OF NEW LONDON

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
351 N FRONTAGE RD
NEW LONDON, CT
ZIP 06320
Phone: (860) 447-1194
Get Directions

FIVE STAR SUPERMARKETS OF NEW LONDON INC is a community/retail pharmacy pharmacy in New London, 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 NEW LONDON INC NPI is 1639268097. The provider is registered as an organization entity type.
The provider Is Doing Business As Shop Rite Pharmacy Of New London.

The provider's business location address is:

351 N FRONTAGE RD
NEW LONDON, CT
ZIP 06320-628
Phone: (860) 447-1194
Fax: (860) 444-9474

The provider's authorized official is Melissa Figueora 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 10/12/2006 and was last updated on 1/8/2015.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyPCY0001743CONNECTICUTYes

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
1004199966MEDICAIDCONNECTICUT
22002355OTHERPK
31313570001MEDICARE NSC

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

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.