Shoprite Pharmacy

LBN: Waverly Markets Of East Hartford Llc
Shoprite Pharmacy is an health care organization with primary practice located at 31 Main St , East Hartford CT 06118-3209. 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. Waverly Markets Of East Hartford Llc can be contacted via phone (860) 895-8106, or through Figueroa-Rivera, Melissa via phone (732) 521-8439.

Contact Information

Primary practice address
31 Main St East Hartford CT 06118-3209
Fax: (860) 895-8931
Website:
Authorized official contact:
Name: Figueroa-Rivera, Melissa

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PCY0002170 Connecticut

Profile Details

NPI number 1467775494
LBN Legal business name Waverly Markets Of East Hartford Llc
DBA Doing business as Shoprite Pharmacy
Authorized official Figueroa-Rivera, Melissa
Entity Organization
Organization subpart 1 No
Enumeration date Mar 4th, 2010
Last updated Jul 19th, 2018 - about 6 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 1467775494 NPPES
Connecticut MEDICAID 008017653
Connecticut Other 2124366

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