Stop & Shop Supermarket Company, LLC
Pharmacy, Community/Retail Pharmacy in Brockton, Massachusetts
1154356186- Practice location
- 932 N Montello St, Brockton, MA 02301-1671
- Phone
- 508-427-6582
- Fax
- 508-427-6977
- Last updated
- July 29, 2024
Stop & Shop Supermarket Company, LLC is a healthcare organization based in Brockton, MA. Stop & Shop Supermarket Company, LLC practices in Brockton, MA. The NPI Number for Stop & Shop Supermarket Company, LLC is 1154356186 and holds a License No. 3290 (MA). The current practice location address for Stop & Shop Supermarket Company, LLC is 932 N Montello St, Brockton, MA 02301-1671 and can be reached out via phone at 508-427-6582 and via fax at 508-427-6977.
Provider Profile Details
- NPI Number
- 1154356186
- Provider Name
- Stop & Shop Supermarket Company, LLC
- Provider Entity Type
- Organization
- Address
- 932 N Montello St, Brockton, MA 02301-1671
- Phone Number
- 508-427-6582
- Fax Number
- 508-427-6977
- Primary Taxonomy
- Pharmacy, Community/Retail Pharmacy · 3336C0003X
- Organization Subpart
- No
- Authorized Official
- Gordon Reid · President · 301-341-3906
- Other Names
- Stop And Shop Pharmacy #55 (Doing Business As)
- Provider Enumeration Date
- July 11, 2006
- Last Update Date
- July 29, 2024
- Certification Date
- July 29, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 932 N Montello St
Brockton, MA 02301-1671 - City
- Brockton
- State
- Massachusetts
- Zip
- 02301-1671
- Phone Number
- 508-427-6582
- Fax Number
- 508-427-6977
Provider Business Mailing Address Details
- Address
- 932 N Montello St
Brockton, MA 02301-1671 - City
- Brockton
- State
- MA
- Zip
- 02301-1671
License Information
- License Number (1)
- 3290
- License State (1)
- MA
- Taxonomy (1)
- Durable Medical Equipment & Medical Supplies · 332B00000X
- License Number (2)
- 3290
- License State (2)
- MA
- Taxonomy (2)
- Pharmacy · 333600000X
- License Number (3)
- 3290
- License State (3)
- MA
- Taxonomy (3)
- Pharmacy, Community/Retail Pharmacy · 3336C0003X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Stop & Shop Supermarket Company, LLC?
The NPI number of Stop & Shop Supermarket Company, LLC is 1154356186. It was assigned on July 11, 2006 and is currently active in the NPPES registry.
What is the specialty of Stop & Shop Supermarket Company, LLC?
Stop & Shop Supermarket Company, LLC is registered under the primary taxonomy Pharmacy, Community/Retail Pharmacy (code 3336C0003X), licensed in MA under license number 3290.
Where does Stop & Shop Supermarket Company, LLC practice?
The practice location is 932 N Montello St, Brockton, MA 02301-1671. The office can be reached at 508-427-6582 (phone) or 508-427-6977 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154356186 directly on the NPPES registry website.