Shoprite Pharmacy 215

LBN: Brookdale Shoprite Inc
Shoprite Pharmacy 215 is an health care organization with primary practice located at 1409 Broad St , Bloomfield NJ 07003-3001. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Brookdale Shoprite Inc can be contacted via phone (973) 338-4143, or through Figueroa-Rivera, Melissa via phone (732) 521-8439.

Contact Information

Primary practice address
1409 Broad St Bloomfield NJ 07003-3001
Phone: (973) 338-4143
Fax: (973) 893-1623
Website:
Map and Directions
Authorized official contact:
Name: Figueroa-Rivera, Melissa
Phone: (732) 521-8439

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 28RS00571800 New Jersey

Profile Details

NPI number 1184739963
LBN Legal business name Brookdale Shoprite Inc
DBA Doing business as Shoprite Pharmacy 215
Authorized official Figueroa-Rivera, Melissa
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2006
Last updated Jul 19th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184739963 NPPES
Other 2054142 PK
MEDICAID 7892403 PK

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