STOP AND SHOP SUPERMARKET CO LLC (NPI# 1073982815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073982815 |
| Entity Type | Organization |
| Organization Name | STOP AND SHOP SUPERMARKET CO LLC |
| Other Organization Name | STOP & SHOP PHARMACY 2589 |
| Practice Address |
92-10 Atlantic Ave Ozone Park NY 11417 |
| Mailing Address |
1149 Harrisburg Pike Attn: April Hoover Carlisle PA 17013-1607 |
| Practice Telephone | 7188357903 |
| Practice Fax Number | 7186413530 |
| Mailing Telephone | 7179608553 |
| Mailing Fax Number | 7179601389 |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2016-04-14 |
| Authorized Official Name | MR. RAYMOND MCCALL (SVP HEALTH & HOUSEHOLD) |
| Authorized Official Telephone | 7179605666 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | Y |
| Parent Organization Name | AHOLDUSA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | NY | Suppliers | |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | DEA LICENSE | FT5740231 | 01 |
| NY | STATE LICENSE | 034056 | 01 |
| Other Name | Type Code |
|---|---|
| STOP & SHOP PHARMACY 2589 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265803688 | Stop and Shop Supermarket Co LLC | Durable Medical Equipment & Medical Supplies | 85 East Park Ave, Long Beach, NY 11561 | 2015-10-12 |
| 1366795809 | Stop and Shop Supermarket Co LLC | Pharmacy | 40 Furlong Dr, Revere, MA 02151-4006 | 2012-10-22 |
| 1316951205 | Stop and Shop Supermarket Co LLC | Durable Medical Equipment & Medical Supplies | 1710 Avenue Y, Brooklyn, NY 11235-3534 | 2006-07-28 |
| 1225042112 | Stop and Shop Supermarket Co LLC | Durable Medical Equipment & Medical Supplies | 829 Worcester St, Natick, MA 01760-2076 | 2006-07-28 |
| 1669491692 | Stop and Shop Supermarket Co LLC | Pharmacy | 105 Elm St, Old Saybrook, CT 06475-4132 | 2006-07-19 |
| 1568481596 | Stop and Shop Supermarket Co LLC | Durable Medical Equipment & Medical Supplies | 111 Chatham Rd, Harwich, MA 02645 | 2006-07-19 |
| 1578582508 | Stop and Shop Supermarket Co LLC | Pharmacy | 930 N Colony Rd, Wallingford, CT 06492-2471 | 2006-07-19 |
| 1902825938 | Stop and Shop Supermarket Co LLC | Pharmacy | Dan Fox Dr Rte 7, Pittsfield, MA 01201 | 2006-07-19 |
| 1386663318 | Stop and Shop Supermarket Co LLC | Durable Medical Equipment & Medical Supplies | 2110 Cranberry Cove Plaza, Orleans, MA 02653 | 2006-07-19 |
| 1811916844 | Stop and Shop Supermarket Co LLC | Pharmacy | Route 6a and Merchants Rd, Sandwich, MA 02563 | 2006-07-19 |
| Street Address |
92-10 ATLANTIC AVE |
| City | OZONE PARK |
| State | NY |
| Zip Code | 11417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336757723 | Raymond Videsh Seelochan | Physician Assistant | 105-14 91st Street, Ozone Park, NY 11417 | 2020-07-21 |
| 1942778907 | All Medical Equipments Inc | Durable Medical Equipment & Medical Supplies | 10621 97th St Unit Bc, Ozone Park, NY 11417 | 2018-11-08 |
| 1871085696 | Jellybean Ei Inc. | Case Management | 13524 96th St, Ozone Park, NY 11417 | 2018-06-06 |
| 1093238180 | Goydan Pharmacy Inc | Pharmacy | 150-29 Cross Bay Blvd, Store 1, Ozone Park, NY 11417 | 2017-07-20 |
| 1326585183 | Quest Pharmacy Corp | Pharmacy | 150-29 Cross Bay Blvd Store 1, Ozone Park, NY 11417 | 2017-01-31 |
| 1609319441 | Alexandra Musacchio | Speech-Language Pathologist | 104-50 102nd St, 2e, Ozone Park, NY 11417 | 2016-11-28 |
| 1083166805 | Danielle Natman | Social Worker | 108-19 Rockaway Boulevard, Ozone Park, NY 11417 | 2016-10-27 |
| 1487018388 | Antonia Diaz | Registered Nurse | 107-46 90th Street, 2nd Floor, Ozone Park, NY 11417 | 2016-04-07 |
| 1871967901 | Ngozi Ezinne Inwelegbu | Licensed Practical Nurse | 133-25 87th Street, 2b, Ozone Park, NY 11417 | 2015-12-01 |
| 1750760229 | Kenrick Isaac | Occupational Therapist | 9506 103rd Ave, Ozone Park, NY 11417 | 2015-05-29 |
| Find all providers in zip 11417 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151512 | 101 Rx Pharmacy Inc | Pharmacy | 101 Rx Pharmacy Inc, 9718 101st Ave, Ozone Park, NY 11416 | 2020-10-12 |
| 1376153759 | Asg Rx Corp | Pharmacy | 10216 Liberty Ave, Ozone Park, NY 11417-1738 | 2020-07-31 |
| 1538659115 | 106 Ozone Pk Rx Inc | Pharmacy | 10621 97th St Unit C, Ozone Park, NY 11417-2101 | 2018-05-18 |
| 1912409731 | Healthy Living Pharm Inc | Pharmacy | 15029 Crossbay Blvd Ste 1, Ozone Park, NY 11417-2962 | 2018-03-07 |
| 1093238180 | Goydan Pharmacy Inc | Pharmacy | 150-29 Cross Bay Blvd, Store 1, Ozone Park, NY 11417 | 2017-07-20 |
| 1851832455 | New Ozone Park Pharmacy Inc | Pharmacy | 7401 101st Ave, Ozone Park, NY 11416-1026 | 2017-03-15 |
| 1588114037 | Medaid Pharmacy Inc. | Pharmacy | 7708 101st Ave, Ozone Park, NY 11416-1914 | 2016-10-08 |
| 1245640655 | Care Script Pharmacy Inc. | Pharmacy | 9605 Rockaway Boulevard, Ozone Park, NY 11417 | 2014-05-07 |
| 1255629150 | S J Pharmacy & Surgical, Inc. | Pharmacy | 10532 Rockaway Blvd, Ozone Park, NY 11417-2306 | 2011-07-13 |
| 1477858041 | Al-haqq Pharmacy Inc | Pharmacy | 7507 101st Ave, Ozone Park, NY 11416-1028 | 2011-01-12 |
| Find all providers in OZONE PARK | ||||
| City | OZONE PARK |
| Zip Code | 11417 |
Please comment or provide details below to improve the information on STOP AND SHOP SUPERMARKET CO LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.