STOP AND SHOP SUPERMARKET CO LLC (NPI# 1336171222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336171222 |
| Entity Type | Organization |
| Organization Name | STOP AND SHOP SUPERMARKET CO LLC |
| Other Organization Name | STOP AND SHOP PHARMACY #421 |
| Practice Address |
815 Grand Army Hwy Somerset MA 02726-1204 |
| Practice Telephone | 5083249693 |
| Practice Fax Number | 5086791276 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2011-10-18 |
| Authorized Official Name | BRAD DAYTON (DIRECTOR) |
| Authorized Official Telephone | 6177708782 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 3322 | MA | Suppliers |
| N | 333600000X | Pharmacy | 3322 | MA | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
3322 | MA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0406317 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2238740 | 01 |
| Other Name | Type Code |
|---|---|
| STOP AND SHOP PHARMACY #421 | 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 |
| 1073982815 | Stop and Shop Supermarket Co LLC | Durable Medical Equipment & Medical Supplies | 92-10 Atlantic Ave, Ozone Park, NY 11417 | 2015-09-23 |
| 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 |
| Street Address |
815 GRAND ARMY HWY |
| City | SOMERSET |
| State | MA |
| Zip Code | 02726-1204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164034252 | Paul Michael Shaughnessy Jr. | Pharmacist | 296 Buffington St, Somerset, MA 02726 | 2020-08-19 |
| 1134630775 | James M Theriault | Occupational Therapy Assistant | 279 Vermont Ave, Somerset, MA 02726 | 2017-10-23 |
| 1033634951 | Ronald Alec Coulstring Jr. | Physical Therapy Assistant | 1440 Grand Army of The Republic, Somerset, MA 02726 | 2017-08-11 |
| 1447707906 | Jessica Solup | Occupational Therapist | 158 Highview Avenue, Somerset, MA 02726 | 2016-09-01 |
| 1649639956 | Fisher Bus Inc | Secured Medical Transport (VAN) | 586 County Street, Somerset, MA 02726 | 2016-02-15 |
| 1104248988 | Jennifer Doyle | Speech-Language Pathologist | 668 Wood St, Somerset, MA 02726 | 2014-01-13 |
| 1528143906 | Joshua John Gurney | Physical Therapist | 67 G.a.r. Highway, Somerset, MA 02726 | 2006-10-26 |
| 1700972247 | Margaret Gray Clark-moroff | Optometrist | 44 Shawomet Avenue, Somerset, MA 02726 | 2006-10-04 |
| 1609884683 | Donald Albert Forbes | Dentist | 481 South Street, Somerset, MA 02726 | 2006-08-04 |
| 1124046685 | Philip Michael Robitaille | Dentist | 1188 County St, Somerset, MA 02726 | 2006-07-17 |
| Find all providers in zip 02726 | ||||
| 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] |
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| 1245848993 | Plaza Pharmacy Corp | Pharmacy | 84 Veronica Ave Ste A107, Somerset, NJ 08873-3529 | 2020-07-20 |
| 1376833970 | Medicine Shoppe Long Term Care | Pharmacy | 900 E Mount Vernon St Unit B, Somerset, KY 42501-1228 | 2011-04-15 |
| 1407027154 | Drug Fair Group, Inc. | Pharmacy | 800 Cottontail Ln, Somerset, NJ 08873-1227 | 2008-03-20 |
| 1437334109 | Bobrowski Industries Co | Pharmacy | 107 Parent St, Somerset, WI 54025-7439 | 2007-12-31 |
| 1356532352 | Goforth Pharmacy LLC | Pharmacy | 406 Bogle St, Somerset, KY 42503 | 2007-08-05 |
| 1144361569 | Century Pharmacy, Inc. | Pharmacy | 875 South Highway 27, Somerset, KY 42501 | 2007-02-09 |
| 1134212582 | Genmar.eb Inc. | Pharmacy | 131 S Pleasant Ave, Somerset, PA 15501-2189 | 2006-09-30 |
| 1154421584 | Cvs Pharmacy Inc | Pharmacy | 1587 Brayton Point Rd, Somerset, MA 02725 | 2006-09-25 |
| 1659474393 | Kentucky Cvs Pharmacy, L.L.C. | Pharmacy | 144 N Highway 27, Somerset, KY 42503-1732 | 2006-09-07 |
| 1730282583 | Pennsylvania Cvs Pharmacy LLC | Pharmacy | 110 S Pleasant Ave, Somerset, PA 15501-2193 | 2006-09-07 |
| Find all providers in SOMERSET | ||||
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| 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.