| NPI | 1073545927 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-07-07 |
| Last Updated | 2025-09-16 |
| Authorized Official | Roger Wheeler PRESIDENT Phone: 6176894130 |
| Mailing Address | 158 Route 25a Setauket, NY 11733-2849 United States 📍 View Map |
| Primary Practice Address | 158 Route 25a Setauket, NY 11733-2849 United States Phone: (631) 751-5612 | Fax: (516) 689-1428 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | NY | 02079894 | — |
| Other (non-Medicare) | — | 3314680 | Other ID Number-Commercial Number |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 333600000X – Pharmacy | NY | 24788 |
| No | 332B00000X – Durable Medical Equipment & Medical Supplies | NY | 24788 |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | NY | 24788 |
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About NPI 1073545927
The Stop & Shop Supermarket Company Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1073545927. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Setauket, NY. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-07-07. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1073545927?
NPI 1073545927 belongs to The Stop & Shop Supermarket Company Llc, a Pharmacy, Community/Retail Pharmacy in Setauket, NY. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1073545927 active?
The current status of NPI 1073545927 in the NPPES registry is Active. The record was last updated on 2025-09-16.
What specialty is NPI 1073545927?
NPI 1073545927 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1073545927?
You can verify NPI 1073545927 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1073545927?
The primary practice address on file for NPI 1073545927 is 158 Route 25a, Setauket, NY 11733-2849. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1073545927 issued?
NPI 1073545927 was first issued (enumerated) on 2006-07-07. The NPPES record was last updated on 2025-09-16.
Practice Location Map
The Stop & Shop Supermarket Company Llc is located at 158 Route 25a, Setauket, NY. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as The Stop & Shop Supermarket Company Llc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1073545927. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy | 24788 | NY |
| Durable Medical Equipment & Medical Supplies | 24788 | NY |
| Pharmacy, Community/Retail Pharmacy | 24788 | NY |