The Stop & Shop Supermarket Company, LLC
Pharmacy, Community/Retail Pharmacy in Waterbury, Connecticut
1316979289- Practice location
- 410 Reidville Dr, Waterbury, CT 06705-2633
- Phone
- 203-755-5814
- Fax
- 203-574-2675
- Last updated
- October 31, 2024
The Stop & Shop Supermarket Company, LLC is a healthcare organization based in Waterbury, CT. The Stop & Shop Supermarket Company, LLC practices in Waterbury, CT. The NPI Number for The Stop & Shop Supermarket Company, LLC is 1316979289 and holds a License No. 01439 (CT). The current practice location address for The Stop & Shop Supermarket Company, LLC is 410 Reidville Dr, Waterbury, CT 06705-2633 and can be reached out via phone at 203-755-5814 and via fax at 203-574-2675.
Provider Profile Details
- NPI Number
- 1316979289
- Provider Name
- The Stop & Shop Supermarket Company, LLC
- Provider Entity Type
- Organization
- Address
- 410 Reidville Dr, Waterbury, CT 06705-2633
- Phone Number
- 203-755-5814
- Fax Number
- 203-574-2675
- Primary Taxonomy
- Pharmacy, Community/Retail Pharmacy · 3336C0003X
- Organization Subpart
- No
- Authorized Official
- Brad Dayton · Director · 617-770-8782
- Other Names
- Stop And Shop Pharmacy #618 (Doing Business As)
- Provider Enumeration Date
- July 7, 2006
- Last Update Date
- October 31, 2024
- Certification Date
- October 31, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 410 Reidville Dr
Waterbury, CT 06705-2633 - City
- Waterbury
- State
- Connecticut
- Zip
- 06705-2633
- Phone Number
- 203-755-5814
- Fax Number
- 203-574-2675
Provider Business Mailing Address Details
- Address
- 410 Reidville Dr
Waterbury, CT 06705-2633 - City
- Waterbury
- State
- CT
- Zip
- 06705-2633
License Information
- License Number (1)
- 01439
- License State (1)
- CT
- Taxonomy (1)
- Durable Medical Equipment & Medical Supplies · 332B00000X
- License Number (2)
- 01439
- License State (2)
- CT
- Taxonomy (2)
- Pharmacy · 333600000X
- License Number (3)
- 01439
- License State (3)
- CT
- 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 The Stop & Shop Supermarket Company, LLC?
The NPI number of The Stop & Shop Supermarket Company, LLC is 1316979289. It was assigned on July 7, 2006 and is currently active in the NPPES registry.
What is the specialty of The Stop & Shop Supermarket Company, LLC?
The Stop & Shop Supermarket Company, LLC is registered under the primary taxonomy Pharmacy, Community/Retail Pharmacy (code 3336C0003X), licensed in CT under license number 01439.
Where does The Stop & Shop Supermarket Company, LLC practice?
The practice location is 410 Reidville Dr, Waterbury, CT 06705-2633. The office can be reached at 203-755-5814 (phone) or 203-574-2675 (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 1316979289 directly on the NPPES registry website.