INSERRA SUPERMARKET INCORPORATED (NPI# 1578678355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578678355 |
| Entity Type | Organization |
| Organization Name | INSERRA SUPERMARKET INCORPORATED |
| Practice Address |
641 Hamburg Tpke Wayne NJ 07470-2098 |
| Mailing Address |
Po Box 8500-51250 Philadelphia PA 19178-0001 |
| Practice Telephone | 9735950296 |
| Practice Fax Number | 9737201503 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2010-08-18 |
| Authorized Official Name | MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR) |
| Authorized Official Telephone | 7325218439 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | RS004405 | NJ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3131618 | 01 | |
| NJ | 4416201 | 05 | |
| NJ | MEDICAID DME | 4416210 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477691244 | Inserra Supermarket Incorporated | Pharmacy | 900 Madison St, Hoboken, NJ 07030-6483 | 2007-02-02 |
| 1033224811 | Inserra Supermarket Incorporated | Pharmacy | 814 River Rd, New Milford, NJ 07646-3014 | 2006-08-20 |
| 1679688444 | Inserra Supermarket Incorporated | Pharmacy | 425 Old Hook Rd, Emerson, NJ 07630-1323 | 2006-08-20 |
| 1922113703 | Inserra Supermarket Incorporated | Pharmacy | 246 Livingston St, Northvale, NJ 07647-1910 | 2006-08-20 |
| 1811002694 | Inserra Supermarket Incorporated | Pharmacy | 23 Marshall Hill Rd, West Milford, NJ 07480-2144 | 2006-08-20 |
| 1750496535 | Inserra Supermarket Incorporated | Pharmacy | 540 York Ave Delafield Rd, Lyndhurst, NJ 07071 | 2006-08-20 |
| 1497860274 | Inserra Supermarket Incorporated | Pharmacy | 372 Broadway, Hillsdale, NJ 07642 | 2006-08-20 |
| Street Address |
641 HAMBURG TPKE |
| City | WAYNE |
| State | NJ |
| Zip Code | 07470-2098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073086 | Brightview Hamburg, LLC | Alzheimer Center (Dementia Center) | 1139 Hamburg Turnpike, Wayne, NJ 07470 | 2020-11-03 |
| 1912536301 | Stevenson Dominique | Physician Assistant | 1700 Nj-23 # 170, Wayne, NJ 07470 | 2020-04-07 |
| 1710524087 | Engel Burman At Wayne, LLC | Assisted Living Facility | 1440 Hamburg Turnpike, Wayne, NJ 07470 | 2019-12-05 |
| 1508412669 | Jessie Diana Dunitz | Technician | 66 Sandra Lane, Wayne, NJ 07470 | 2019-08-14 |
| 1447737234 | Meza Behavioral Health, Inc. | Psychologist | 40 Edgemont Crescent, Wayne, NJ 07470 | 2018-07-24 |
| 1881188076 | Christine Nolan | Occupational Therapist | 1 Pike Drive, Wayne, NJ 07470 | 2018-06-20 |
| 1033612403 | County of Passaic Department of Finance | Skilled Nursing Facility | 305 Oldham Road, Wayne, NJ 07470 | 2018-03-13 |
| 1144739590 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Allen Drive, Wayne, NJ 07470 | 2017-09-28 |
| 1679096697 | Wafaa Saad | Counselor | 1009 Valley Rd, Wayne, NJ 07470 | 2017-07-21 |
| 1659803138 | Allison Nicole Diangelo | Nurse Practitioner | 1578 Rte 23, Wayne, NJ 07470 | 2017-04-03 |
| Find all providers in zip 07470 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982240735 | Elite Rx LLC | Pharmacy | 2282 Hamburg Tpke Ste E, Wayne, NJ 07470-6291 | 2019-11-26 |
| 1790295616 | Bop Rx Inc | Pharmacy | 879 Black Oak Ridge Rd Unit 2, Wayne, NJ 07470-6400 | 2017-10-05 |
| 1992130553 | One Stop Pharmacy LLC | Pharmacy | 33950 Van Born Rd, Wayne, MI 48184 | 2013-09-13 |
| 1942574629 | Riverview Pharmacy LLC | Pharmacy | 2405 Hamburg Tpke Ste C, Wayne, NJ 07470-6261 | 2012-02-28 |
| 1407953342 | Strafford Pharmacy Inc | Pharmacy | 623 W Lancaster Ave, Wayne, PA 19087-3108 | 2006-09-20 |
| 1992815518 | Costco Wholesale Corporation | Pharmacy | 149 State Route 23, Wayne, NJ 07470 | 2006-08-30 |
| 1477584456 | K Mart Corp | Pharmacy | 704 W Lancaster Ave, Wayne, PA 19087-2560 | 2006-07-06 |
| 1679514509 | Basic Home Infusion, Inc. | Pharmacy | 1401 Valley Rd, 4th Floor, Wayne, NJ 07470-2073 | 2006-06-10 |
| 1750333134 | Shopko Stores Operating Co LLC | Pharmacy | 615 Dearborn St, Wayne, NE 68787-2244 | 2006-05-16 |
| 1700856010 | Neff-wayne Enterprise,inc. | Pharmacy | 249 E Swedesford Rd, Wayne, PA 19087-1462 | 2006-01-26 |
| Find all providers in WAYNE | ||||
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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.