Shoprite Of Manchester/ Shoprite Pharmacy

LBN: Waverly Markets, Llc
Shoprite Of Manchester/ Shoprite Pharmacy is an health care organization with primary practice located at 214 Spencer St , Manchester CT 06040-4618. 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. Waverly Markets, Llc can be contacted via phone (860) 645-3244, or through Figueroa Rivera, Melissa via phone (732) 521-8439.

Contact Information

Primary practice address
214 Spencer St Manchester CT 06040-4618
Fax: (860) 643-9283
Website:
Authorized official contact:
Name: Figueroa Rivera, Melissa

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X PCY1083 Connecticut

Profile Details

NPI number 1083754980
LBN Legal business name Waverly Markets, Llc
DBA Doing business as Shoprite Of Manchester/ Shoprite Pharmacy
Authorized official Figueroa Rivera, Melissa
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2007
Last updated Oct 3rd, 2012 - about 14 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 1083754980 NPPES
Connecticut Other 0708391 NCPDP
Connecticut MEDICAID 004194635 NCPDP

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