Stop And Shop Pharmacy #544

LBN: Stop And Shop Supermarket Co Llc
Stop And Shop Pharmacy #544 is an health care organization with primary practice located at 425 Portion Rd , Lake Ronkonkoma NY 11779-4579. 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. Stop And Shop Supermarket Co Llc can be contacted via phone (631) 737-1736, or through Dayton, Brad via phone (617) 770-8782.

Contact Information

Primary practice address
425 Portion Rd Lake Ronkonkoma NY 11779-4579
Phone: (631) 737-1736
Fax: (631) 737-2879
Website:
Map and Directions
Authorized official contact:
Name: Dayton, Brad
Phone: (617) 770-8782

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 026854 New York
Suppliers / Pharmacy 333600000X 026854 New York
Suppliers / Community/Retail Pharmacy 3336C0003X 026854 New York

Profile Details

NPI number 1114959079
LBN Legal business name Stop And Shop Supermarket Co Llc
DBA Doing business as Stop And Shop Pharmacy #544
Authorized official Dayton, Brad
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2006
Last updated Oct 19th, 2011 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114959079 NPPES
Other 3339618 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 02586478 OTHER ID NUMBER-COMMERCIAL NUMBER

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