Active NPIOrganization

Evesham Supermarket LLC

Pharmacy, Community/Retail Pharmacy in Cherry Hill, New Jersey

NPI Number1427248665
Practice location
400 Evesham RD, Cherry Hill, NJ 08003-4010
Fax
856-216-7190
Last updated
September 19, 2025

Evesham Supermarket LLC is a healthcare organization based in Cherry Hill, NJ. Evesham Supermarket LLC practices in Cherry Hill, NJ. The NPI Number for Evesham Supermarket LLC is 1427248665 and holds a License No. 28RS00673500 (NJ). The current practice location address for Evesham Supermarket LLC is 400 Evesham RD, Cherry Hill, NJ 08003-4010 and can be reached out via phone at 856-216-0115 and via fax at 856-216-7190.

Provider Profile Details

NPI Number
1427248665
Provider Name
Evesham Supermarket LLC
Provider Entity Type
Organization
Address
400 Evesham RD, Cherry Hill, NJ 08003-4010
Phone Number
856-216-0115
Fax Number
856-216-7190
Primary Taxonomy
Pharmacy, Community/Retail Pharmacy · 3336C0003X
Organization Subpart
No
Authorized Official
Melissa Figueroa Rivera · Third Party Administrator · 732-521-8439
Other Names
Shop Rite Pharmacy Dept #529 (Doing Business As)
Provider Enumeration Date
July 25, 2007
Last Update Date
September 19, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
400 Evesham RD
Cherry Hill, NJ 08003-4010
Zip
08003-4010
Phone Number
856-216-0115
Fax Number
856-216-7190
Cherry Hill, NJ 08003Get directions →

Provider Business Mailing Address Details

Address
Po Box 15169
Newark, NJ 07192-5169
City
Newark
State
NJ
Zip
07192-5169
Phone Number
856-216-0115

License Information

Taxonomy (1)
Pharmacy · 333600000X
License Number (2)
28RS00673500
License State (2)
NJ
Taxonomy (2)
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 Evesham Supermarket LLC?

The NPI number of Evesham Supermarket LLC is 1427248665. It was assigned on July 25, 2007 and is currently active in the NPPES registry.

What is the specialty of Evesham Supermarket LLC?

Evesham Supermarket LLC is registered under the primary taxonomy Pharmacy, Community/Retail Pharmacy (code 3336C0003X), licensed in NJ under license number 28RS00673500.

Where does Evesham Supermarket LLC practice?

The practice location is 400 Evesham RD, Cherry Hill, NJ 08003-4010. The office can be reached at 856-216-0115 (phone) or 856-216-7190 (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 1427248665 directly on the NPPES registry website.

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