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INSERRA SUPERMARKET INCORPORATED NPI 1811002694


NPI Information

NPI: 1811002694
Provider Name: INSERRA SUPERMARKET INCORPORATED
Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
23 MARSHALL HILL RD
WEST MILFORD, NJ
ZIP 07480
Phone: (973) 728-4754
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INSERRA SUPERMARKET INCORPORATED is a pharmacy in West Milford, NJ. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. INSERRA SUPERMARKET INCORPORATED NPI is 1811002694. The provider is registered as an organization entity type.

The provider's business location address is:

23 MARSHALL HILL RD
WEST MILFORD, NJ
ZIP 07480-144
Phone: (973) 728-4754
Fax: (973) 728-4759

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 8/20/2006 and was last updated on 8/17/2010.


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
13336C0003XPharmacyCommunity/Retail PharmacyNo
2333600000XPharmacyRS005613NEW 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
17721218OTHERNEW JERSEYMEDICAID DME
27721200MEDICAIDNEW JERSEY
33140112OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
40337100009MEDICARE 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: 5/5/2024

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