Delsea Drive Supermarket, LLC
Pharmacy, Community/Retail Pharmacy in Vineland, New Jersey
1487769261- Practice location
- 1255 W Landis Ave, Vineland, NJ 08360-3423
- Phone
- 856-794-2989
- Fax
- 856-794-1910
- Last updated
- June 21, 2013
Delsea Drive Supermarket, LLC is a healthcare organization based in Vineland, NJ. Delsea Drive Supermarket, LLC practices in Vineland, NJ. The NPI Number for Delsea Drive Supermarket, LLC is 1487769261 and holds a License No. RS005755 (NJ). The current practice location address for Delsea Drive Supermarket, LLC is 1255 W Landis Ave, Vineland, NJ 08360-3423 and can be reached out via phone at 856-794-2989 and via fax at 856-794-1910.
Provider Profile Details
- NPI Number
- 1487769261
- Provider Name
- Delsea Drive Supermarket, LLC
- Provider Entity Type
- Organization
- Address
- 1255 W Landis Ave, Vineland, NJ 08360-3423
- Phone Number
- 856-794-2989
- Fax Number
- 856-794-1910
- Primary Taxonomy
- Pharmacy, Community/Retail Pharmacy · 3336C0003X
- Organization Subpart
- No
- Authorized Official
- Melissa Figueroa Rivera · Third Party Administrator · 732-521-8439
- Other Names
- Shoprite Pharmacy (Doing Business As)
- Provider Enumeration Date
- August 20, 2006
- Last Update Date
- June 21, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1255 W Landis Ave
Vineland, NJ 08360-3423 - City
- Vineland
- State
- New Jersey
- Zip
- 08360-3423
- Phone Number
- 856-794-2989
- Fax Number
- 856-794-1910
Provider Business Mailing Address Details
- Address
- 1255 W Landis Ave
Vineland, NJ 08360-3423 - City
- Vineland
- State
- NJ
- Zip
- 08360-3423
License Information
- License Number (1)
- RS005755
- License State (1)
- NJ
- Taxonomy (1)
- Pharmacy · 333600000X
- Taxonomy (2)
- 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 Delsea Drive Supermarket, LLC?
The NPI number of Delsea Drive Supermarket, LLC is 1487769261. It was assigned on August 20, 2006 and is currently active in the NPPES registry.
What is the specialty of Delsea Drive Supermarket, LLC?
Delsea Drive Supermarket, LLC is registered under the primary taxonomy Pharmacy, Community/Retail Pharmacy (code 3336C0003X), licensed in NJ under license number RS005755.
Where does Delsea Drive Supermarket, LLC practice?
The practice location is 1255 W Landis Ave, Vineland, NJ 08360-3423. The office can be reached at 856-794-2989 (phone) or 856-794-1910 (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 1487769261 directly on the NPPES registry website.