Shoprite Pharmacy Of Derby
LBN: Grade A Market Derby Llc
Shoprite Pharmacy Of Derby is an health care organization with primary practice located at 49 Pershing Dr , Derby CT 06418-1406. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Grade A Market Derby Llc can be contacted via phone (203) 736-1055, or through Figueroa Rivera, Melissa via phone (732) 521-8439.
Contact Information
Primary practice address
49 Pershing Dr
Derby CT 06418-1406
Phone: (203) 736-1055
Fax: (203) 736-1007
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PCY0001803 | Connecticut |
Profile Details
| NPI number | 1548311848 |
|---|---|
| LBN Legal business name | Grade A Market Derby Llc |
| DBA Doing business as | Shoprite Pharmacy Of Derby |
| Authorized official | Figueroa Rivera, Melissa |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 15th, 2007 |
| Last updated | Nov 17th, 2017 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548311848 | NPPES |
| Other | 0719178 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | 004222923 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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