Inserra Supermarket Incorporated
LBN: Inserra Supermarket Incorporated
Inserra Supermarket Incorporated is an health care organization with primary practice located at 641 Hamburg Tpke , Wayne NJ 07470-2098. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Inserra Supermarket Incorporated can be contacted via phone (973) 595-0296, or through Figueroa Rivera, Melissa via phone (732) 521-8439.
Contact Information
Primary practice address
641 Hamburg Tpke
Wayne NJ 07470-2098
Phone: (973) 595-0296
Fax: (973) 720-1503
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | RS004405 | New Jersey |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1578678355 |
|---|---|
| LBN Legal business name | Inserra Supermarket Incorporated |
| DBA Doing business as | |
| Authorized official | Figueroa Rivera, Melissa |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 20th, 2006 |
| Last updated | Aug 18th, 2010 - about 16 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 | 1578678355 | NPPES |
| New Jersey | Other | 4416210 | MEDICAID DME |
| New Jersey | MEDICAID | 4416201 | MEDICAID DME |
| New Jersey | Other | 3131618 | MEDICAID DME |
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