Shoprite Pharmacy Of Commerce Park

LBN: Grade A Shop Rite Commerce Rd Llc
Shoprite Pharmacy Of Commerce Park is an health care organization with primary practice located at 1990 W Main St , Stamford CT 06902-4563. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Grade A Shop Rite Commerce Rd Llc can be contacted via phone (203) 978-0464, or through Figueroa Rivera, Melissa via phone (732) 521-8439.

Contact Information

Primary practice address
1990 W Main St Stamford CT 06902-4563
Phone: (203) 978-0464
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Figueroa Rivera, Melissa
Phone: (732) 521-8439

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X PCY2047 Connecticut

Profile Details

NPI number 1376656777
LBN Legal business name Grade A Shop Rite Commerce Rd Llc
DBA Doing business as Shoprite Pharmacy Of Commerce Park
Authorized official Figueroa Rivera, Melissa
Entity Organization
Organization subpart 1 No
Enumeration date Aug 17th, 2006
Last updated Oct 4th, 2012 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376656777 NPPES
Other 0720551 NCPDP PROVIDER IDENTIFICATION NUMBER

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