STOP AND SHOP SUPERMARKET CO LLC NPI 1700818671

NPI Information

  • NPI: 1700818671
  • Provider Name: STOP AND SHOP SUPERMARKET CO LLC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: STOP AND SHOP PHARMACY #81
  • Address: 1277 LIBERTY ST
    SPRINGFIELD, MA
    ZIP 01104
  • Phone: (413) 732-7040

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NPI Details

STOP AND SHOP SUPERMARKET CO LLC is a community/retail pharmacy pharmacy in Springfield, 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 1700818671. The provider is registered as an organization entity type.
The provider Is Doing Business As Stop And Shop Pharmacy #81.

The provider's business location address is:

1277 LIBERTY ST
SPRINGFIELD, MA
ZIP 01104-165
Phone: (413) 732-7040
Fax: (413) 747-9636

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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)

The enumeration date for this NPI number is 7/7/2006 and was last updated on 10/14/2011.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical Supplies1677MASSACHUSETTSNo
2333600000XPharmacy1677MASSACHUSETTSNo
33336C0003XPharmacyCommunity/Retail Pharmacy1677MASSACHUSETTSYes

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
12229094OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
20575340050MEDICARE NSCMASSACHUSETTS
30435429MEDICAIDMASSACHUSETTS

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: 3/30/2025

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