Stop & Shop Pharmacy #2612

LBN: The Stop & Shop Supermarket Company Llc
Stop & Shop Pharmacy #2612 is an health care organization with primary practice located at 25 Rte 39 , New Fairfield CT 06812. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. The Stop & Shop Supermarket Company Llc can be contacted via phone (203) 312-9818, or through Farrell, Alison via phone (717) 240-1526.

Contact Information

Primary practice address
25 Rte 39 New Fairfield CT 06812
Phone: (203) 312-9818
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Farrell, Alison
Phone: (717) 240-1526

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 1860 Connecticut
Suppliers / Community/Retail Pharmacy 3336C0003X PCY 0001860 Connecticut

Profile Details

NPI number 1528381480
LBN Legal business name The Stop & Shop Supermarket Company Llc
DBA Doing business as Stop & Shop Pharmacy #2612
Authorized official Farrell, Alison
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2010
Last updated Jan 8th, 2013 - about 11 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 1528381480 NPPES
Connecticut MEDICAID 008014128

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