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STOP AND SHOP SUPERMARKET CO LLC NPI 1790717668


NPI Information

NPI: 1790717668
Provider Name: STOP AND SHOP SUPERMARKET CO LLC

Doing Business As: STOP AND SHOP PHARMACY #458

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 22D2187492

Address:
660 MERRILL RD
PITTSFIELD, MA
ZIP 01201
Phone: (413) 443-0064
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STOP AND SHOP SUPERMARKET CO LLC is a community/retail pharmacy pharmacy in Pittsfield, 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 1790717668. The provider is registered as an organization entity type.
The provider Is Doing Business As Stop And Shop Pharmacy #458.

The provider's business location address is:

660 MERRILL RD
PITTSFIELD, MA
ZIP 01201-710
Phone: (413) 443-0064
Fax: (413) 443-0344

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 22D2187492 - 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 10/20/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies2142MASSACHUSETTSNo
2333600000XPharmacy2142MASSACHUSETTSNo
33336C0003XPharmacyCommunity/Retail Pharmacy2142MASSACHUSETTSYes

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
10575340017MEDICARE NSCMASSACHUSETTS
22232243OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
30440051MEDICAIDMASSACHUSETTS

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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