Inserra Supermarket Incorporated

LBN: Inserra Supermarket Incorporated
Inserra Supermarket Incorporated is an health care organization with primary practice located at 641 Hamburg Tpke , Wayne NJ 07470-2098. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Inserra Supermarket Incorporated can be contacted via phone (973) 595-0296, or through Figueroa Rivera, Melissa via phone (732) 521-8439.

Contact Information

Primary practice address
641 Hamburg Tpke Wayne NJ 07470-2098
Fax: (973) 720-1503
Website:
Authorized official contact:
Name: Figueroa Rivera, Melissa

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X RS004405 New Jersey
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1578678355
LBN Legal business name Inserra Supermarket Incorporated
DBA Doing business as
Authorized official Figueroa Rivera, Melissa
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2006
Last updated Aug 18th, 2010 - about 14 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 1578678355 NPPES
New Jersey Other 4416210 MEDICAID DME
New Jersey MEDICAID 4416201 MEDICAID DME
New Jersey Other 3131618 MEDICAID DME

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