STOP AND SHOP SUPERMARKET CO LLC (NPI# 1386679488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386679488 |
| Entity Type | Organization |
| Organization Name | STOP AND SHOP SUPERMARKET CO LLC |
| Other Organization Name | STOP AND SHOP PHARMACY #670 |
| Practice Address |
4531 Main St Bridgeport CT 06606-1818 |
| Practice Telephone | 2033726538 |
| Practice Fax Number | 2033723827 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2011-10-27 |
| 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 | 333600000X | Pharmacy | 1707 | CT | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 1707 | CT | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
1707 | CT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 000004193132 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0718114 | 01 |
| Other Name | Type Code |
|---|---|
| STOP AND SHOP PHARMACY #670 | 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 |
4531 MAIN ST |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06606-1818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932695053 | Ryan Iacomacci | Pharmacist | 4531 Main St, Bridgeport, CT 06606-1846 | 2018-07-02 |
| 1184117616 | Stephen Mieczkowski | Pharmacist | 4531 Main St, Bridgeport, CT 06606-1846 | 2018-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962023408 | Madeline Acquilano | Pharmacist | 2800 East Main St, Bridgeport, CT 06606 | 2020-05-06 |
| 1578192001 | Karin Alexandra Skalina | Student in an Organized Health Care Education/Training Program | 2800 Main St., Dept. of Medicine, Bridgeport, CT 06606 | 2020-04-06 |
| 1720641293 | Valeriia Klymenko | Student in an Organized Health Care Education/Training Program | 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2019-04-19 |
| 1821579996 | Ashley Liese | Nurse Practitioner | Cardiology Physicians of Fairfield County, 2679 Main St, Bridgeport, CT 06606 | 2018-08-27 |
| 1699261289 | Gema Estefania Giler-sacoto | Student in an Organized Health Care Education/Training Program | St. Vincent's Medical Center, 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2018-07-06 |
| 1114418365 | Jona Bumci | Physician Assistant | 3180 Main St Ste 304, Bridgeport, CT 06606 | 2018-05-23 |
| 1023471299 | Qmg4, LLC | Family Medicine | 4200 Main Street, Bridgeport, CT 06606 | 2016-04-04 |
| 1861867442 | Marie Dorothea Lisieski | Social Worker | 2400 Main Street, Bridgeport, CT 06606 | 2015-12-08 |
| 1548603384 | Gerald E. Hedley | Internal Medicine | 390 Charles Street Unit #101, Bridgeport, CT 06606 | 2013-04-11 |
| 1487997581 | Gerald Micalizzi, M.d., LLC | Radiology | 558 Fairview Avenue, Bridgeport, CT 06606 | 2013-03-27 |
| Find all providers in zip 06606 | ||||
| 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 |
|---|---|---|---|---|
| 1952909053 | Payne & Pitts, LLC | Pharmacy | 602 Alabama Avenue, Bridgeport, AL 35740-7513 | 2020-10-12 |
| 1609432459 | Brx LLC | Pharmacy | 319 S Virginia Ave, Bridgeport, WV 26330-1744 | 2019-05-17 |
| 1871027714 | Unity Pharmacy II LLC | Pharmacy | 679 Fairfield Ave, Bridgeport, CT 06604-3906 | 2017-04-18 |
| 1063960755 | Workers First Pharmacy Services LLC | Pharmacy | 207 W 4th St Ste B, Bridgeport, PA 19405-1012 | 2016-09-12 |
| 1265809420 | Ls Health, LLC | Pharmacy | 54 W 4th St, Suite 38, Bridgeport, PA 19405-1009 | 2015-08-24 |
| 1548673940 | Hope Dispensary of Greater Bridgeport | Pharmacy | 752 E Main St # 170, Bridgeport Dept of Health, Bridgeport, CT 06608-2335 | 2014-06-04 |
| 1538445101 | Mountaineer Medical Office Building Pharmacy | Pharmacy | 120 Medical Park Dr Ste 102, Bridgeport, WV 26330-9013 | 2011-10-27 |
| 1093094021 | Right Care Pharmacy Inc | Pharmacy | 2366 Main St, Bridgeport, CT 06606-5339 | 2011-08-09 |
| 1710287602 | Brookshire Grocery Company | Pharmacy | 1203 Us Highway 380, Bridgeport, TX 76426-2087 | 2010-10-26 |
| 1699879510 | Connecticut Cvs Pharmacy, L.L.C. | Pharmacy | 3710 Main St, Bridgeport, CT 06606-3613 | 2006-09-12 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06606 |
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.