Shoprite Of Waterbury, Llc
LBN: Shoprite Of Waterbury, Llc
Shoprite Of Waterbury, Llc is an health care organization with primary practice located at 943 Wolcott St , Waterbury CT 06705-1301. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Oxygen Equipment & Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Shoprite Of Waterbury, Llc can be contacted via phone (203) 753-1718, or through Figueroa Rivera, Melissa via phone (732) 521-8439.
Contact Information
Primary practice address
943 Wolcott St
Waterbury CT 06705-1301
Phone: (203) 753-1718
Fax: (203) 757-2095
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
Suppliers / Parenteral & Enteral Nutrition | 332BP3500X | ||
Suppliers / Oxygen Equipment & Supplies | 332BX2000X | ||
Suppliers / Community/Retail Pharmacy | 3336C0003X | PCY1125 | Connecticut |
Profile Details
NPI number | 1699815589 |
---|---|
LBN Legal business name | Shoprite Of Waterbury, Llc |
DBA Doing business as | |
Authorized official | Figueroa Rivera, Melissa |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Feb 8th, 2007 |
Last updated | Jan 5th, 2012 - about 13 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1699815589 | NPPES |
Connecticut | MEDICAID | 004032199 | |
Connecticut | Other | 0709204 |
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