Shaws Supermarkets Inc

LBN: Shaws Supermarkets Inc
Shaws Supermarkets Inc is an health care organization with primary practice located at 425 Broad St , Manchester CT 06040-4035. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Shaws Supermarkets Inc can be contacted via phone (860) 643-3477, or through Hawkins, Demond via phone (208) 395-3905.

Contact Information

Primary practice address
425 Broad St Manchester CT 06040-4035
Phone: (860) 643-3477
Fax: (860) 643-3472
Website:
Map and Directions
Authorized official contact:
Name: Hawkins, Demond
Phone: (208) 395-3905

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PCY0001552 Connecticut

Profile Details

NPI number 1023064045
LBN Legal business name Shaws Supermarkets Inc
DBA Doing business as
Authorized official Hawkins, Demond
Entity Organization
Organization subpart 1 No
Enumeration date May 25th, 2006
Last updated Jan 22nd, 2018 - about 7 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 1023064045 NPPES
Other 0716437 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 004141321 NCPDP PROVIDER IDENTIFICATION NUMBER

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