THE STOP AND SHOP SUPERMARKET CO LLC (NPI# 1972535854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972535854 |
| Entity Type | Organization |
| Organization Name | THE STOP AND SHOP SUPERMARKET CO LLC |
| Other Organization Name | STOP AND SHOP PHARMACY #429 |
| Practice Address |
1100 Massachusetts Ave Dorchester MA 02125-1606 |
| Practice Telephone | 6175414300 |
| Practice Fax Number | 6175414309 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2016-08-30 |
| 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 | 2283 | MA | Suppliers |
| N | 333600000X | Pharmacy | 2283 | MA | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
2283 | MA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0409499 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2233269 | 01 |
| Other Name | Type Code |
|---|---|
| STOP AND SHOP PHARMACY #429 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679505523 | The Stop and Shop Supermarket Co LLC | Durable Medical Equipment & Medical Supplies | 100 Us Route 36, Keyport, NJ 07735-1420 | 2006-07-07 |
| 1336518174 | The Stop and Shop Supermarket Co LLC | Durable Medical Equipment & Medical Supplies | 13440 Springfield Blvd, Springfield Gardens, NY 11413-1403 | 2015-09-23 |
| 1881062511 | The Stop and Shop Supermarket Co LLC | Durable Medical Equipment & Medical Supplies | 130 Wheatley Plz, Greenvale, NY 11548-1344 | 2015-09-11 |
| Street Address |
1100 MASSACHUSETTS AVE |
| City | DORCHESTER |
| State | MA |
| Zip Code | 02125-1606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922520840 | Aj Guerrero | Counselor | 6 Glen St. #3, Boston, MA 02125 | 2017-07-12 |
| 1982059218 | Ana Fernandez | Psychologist | University of Massachusetts, Boston, 100 William T. Morrissey Blvd, Boston, MA 02125 | 2016-04-23 |
| 1558725184 | Algecira Garcia-ortiz | Massage Therapist | 12 Judson St, Dorchester, MASSACHUSETTS 02125 | 2016-04-10 |
| 1508251414 | Sing Hong Ty | Registered Nurse | 415 Colombia Rd, Dorchester, MA 02125 | 2015-03-30 |
| 1972806750 | Joanne Pomales | Counselor | 18 Harbor Crest Court 102, Dorchester, MA 02125 | 2010-12-16 |
| 1386969335 | Kara Jillian Sheridan | Counselor | 58 Dorset St, Boston, MA 02125 | 2010-04-02 |
| 1750533956 | Wendy M. Jern | Physical Therapist | 21riley Rd #2, Hyde Park, MA 02125 | 2008-10-21 |
| 1174729743 | Payton Brandyberry | Counselor | 500 Columbia Rd, Mail Stop 415-05, Upham's Corner Health Center, Dorchester, MA 02125 | 2007-06-21 |
| 1699817247 | Dong Lan Corporation | Pharmacist | 1167 A Dorchester Ave, Dorchester, MA 02125 | 2007-02-12 |
| 1457490153 | Sarah L Merin | Social Worker | Upham's Corner Health Center, 500 Columbia Rd, Mailstop 415-05, Dorchester, MA 02125 | 2007-02-06 |
| Find all providers in zip 02125 | ||||
| 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 |
|---|---|---|---|---|
| 1932610375 | Saigon Pharmacy Inc | Pharmacy | 1167a Dorchester Ave, Dorchester, MA 02125-1561 | 2017-10-12 |
| 1558704718 | Get Well Pharmacy LLC | Pharmacy | 646 Blue Hill Ave, Dorchester, MA 02121-3213 | 2013-04-08 |
| 1417232968 | Hrc Corp Inc | Pharmacy | 201 Humboldt Avenue, Dorchester, MA 02120 | 2011-10-17 |
| 1689957722 | Hrd Corp, Inc | Pharmacy | 201 Humboldt Ave, Dorchester, MA 02120 | 2011-09-26 |
| 1659470953 | Cvs Pharmacy Inc | Pharmacy | 468 Blue Hill Ave, Dorchester, MA 02121-4308 | 2006-09-22 |
| 1588763882 | Cvs Pharmacy Inc | Pharmacy | 715 Morrissey Blvd, Dorchester, MA 02122-3522 | 2006-09-22 |
| 1205473162 | Boston Medical Center Corporation | Pharmacy | 637 Washington St, Dorchester, MA 02124-3510 | 2019-12-10 |
| 1295372563 | Boston Medical Center Corporation Dba Bmc Pharmacy At Codman Square | Pharmacy | 637 Washington St, Dorchester, MA 02124-3510 | 2019-12-05 |
| 1740615251 | Nkanyimuo Real Estate | Pharmacy | 320 Blue Hill Ave, Store, Dorchester, MA 02121-1951 | 2013-09-04 |
| 1598105397 | Community Care Pharmacy, Inc | Pharmacy | 2100 Dorchester Ave, Dorchester, MA 02124-5615 | 2013-06-26 |
| Find all providers in DORCHESTER | ||||
| City | DORCHESTER |
| Zip Code | 02125 |
Please comment or provide details below to improve the information on THE 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.