Shoprite Pharmacy

LBN: Ktm Supermarkets, Inc
Shoprite Pharmacy is an health care organization with primary practice located at 1115 W Chester Pike , West Chester PA 19382-5065. 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. Ktm Supermarkets, Inc can be contacted via phone (610) 696-7561, or through Figueroa Rivera, Melissa via phone (732) 521-8439.

Contact Information

Primary practice address
1115 W Chester Pike West Chester PA 19382-5065
Fax: (610) 429-0945
Website:
Authorized official contact:
Name: Figueroa Rivera, Melissa

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PP415516L Pennsylvania

Profile Details

NPI number 1407961295
LBN Legal business name Ktm Supermarkets, Inc
DBA Doing business as Shoprite Pharmacy
Authorized official Figueroa Rivera, Melissa
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2006
Last updated Dec 14th, 2011 - 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 1407961295 NPPES
Other 3975464 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 01739821 NCPDP PROVIDER IDENTIFICATION NUMBER

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