Active NPIOrganization

The Stop & Shop Supermarket Company, LLC

Pharmacy, Community/Retail Pharmacy in Revere, Massachusetts

NPI Number1366795809
Practice location
40 Furlong Dr, Revere, MA 02151-4006
Fax
—
Last updated
April 9, 2025

The Stop & Shop Supermarket Company, LLC is a healthcare organization based in Revere, MA. The Stop & Shop Supermarket Company, LLC practices in Revere, MA. The NPI Number for The Stop & Shop Supermarket Company, LLC is 1366795809. The current practice location address for The Stop & Shop Supermarket Company, LLC is 40 Furlong Dr, Revere, MA 02151-4006 and can be reached out via phone at 781-284-0717.

Provider Profile Details

NPI Number
1366795809
Provider Name
The Stop & Shop Supermarket Company, LLC
Provider Entity Type
Organization
Address
40 Furlong Dr, Revere, MA 02151-4006
Phone Number
781-284-0717
Primary Taxonomy
Pharmacy, Community/Retail Pharmacy · 3336C0003X
Organization Subpart
No
Authorized Official
Roger Wheeler · President Of Pharmacy · 207-885-2518
Other Names
Stop And Shop Pharmacy # 11 (Doing Business As)
Provider Enumeration Date
October 22, 2012
Last Update Date
April 9, 2025
Certification Date
April 9, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
40 Furlong Dr
Revere, MA 02151-4006
City
Revere
Zip
02151-4006
Phone Number
781-284-0717
Revere, MA 02151Get directions →

Provider Business Mailing Address Details

Address
1149 Harrisburg Pike
Carlisle, PA 17013-1607
City
Carlisle
State
PA
Zip
17013-1607
Phone Number
717-240-5520
Fax Number
717-960-8371

License Information

Taxonomy
Pharmacy, Community/Retail Pharmacy · 3336C0003X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 1366795809. It was assigned on October 22, 2012 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).

Where does The Stop & Shop Supermarket Company, LLC practice?

The practice location is 40 Furlong Dr, Revere, MA 02151-4006. The office can be reached at 781-284-0717 (phone).

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 1366795809 directly on the NPPES registry website.

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