Shaws Pharmacy #1429

LBN: Shaws Supermarkets Inc
Shaws Pharmacy #1429 is an health care organization with primary practice located at 641 Belmont St , Brockton MA 02301. 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. Shaws Supermarkets Inc can be contacted via phone (508) 584-8520, or through Giannakopoulos, Kathy via phone (208) 395-3932.

Contact Information

Primary practice address
641 Belmont St Brockton MA 02301
Fax: (508) 580-3869
Website:
Authorized official contact:
Name: Giannakopoulos, Kathy

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X DS3159 Massachusetts

Profile Details

NPI number 1821044355
LBN Legal business name Shaws Supermarkets Inc
DBA Doing business as Shaws Pharmacy #1429
Authorized official Giannakopoulos, Kathy
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2006
Last updated Jul 3rd, 2024 - about 2 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 1821044355 NPPES
Massachusetts MEDICAID 110000003H
Massachusetts Other 2037857

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