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Export Provider Record NPI 1073982815
The Stop & Shop Supermarket Company, Llc
Organization Subpart: YES
Active
NPI Number1073982815
NPI TypeNPI-2 Organization
SpecialtyPharmacy, Community/Retail Pharmacy
Provider Details
NPI1073982815
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2015-09-23
Last Updated2025-04-16
Authorized OfficialRoger Wheeler
PRESIDENT OF PHARMACY
Phone: 2078852518
Mailing Address1149 Harrisburg Pike, Attn: April Hoover
Carlisle, PA 17013-1607
United States
Phone: (717) 960-8553 | Fax: (717) 960-1389
📍 View Map
Primary Practice Address92-10 Atlantic Ave
Ozone Park, NY 11417
United States
Phone: (718) 835-7903 | Fax: (718) 641-3530
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)NY034056State License
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No332B00000X – Durable Medical Equipment & Medical SuppliesNY
Yes3336C0003X – Pharmacy, Community/Retail PharmacyNY
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About NPI 1073982815

The Stop & Shop Supermarket Company, Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1073982815. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Ozone Park, NY. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2015-09-23. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1073982815?

NPI 1073982815 belongs to The Stop & Shop Supermarket Company, Llc, a Pharmacy, Community/Retail Pharmacy in Ozone Park, NY. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1073982815 active?

The current status of NPI 1073982815 in the NPPES registry is Active. The record was last updated on 2025-04-16.

What specialty is NPI 1073982815?

NPI 1073982815 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 1073982815?

You can verify NPI 1073982815 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 1073982815?

The primary practice address on file for NPI 1073982815 is 92-10 Atlantic Ave, Ozone Park, NY 11417. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1073982815 issued?

NPI 1073982815 was first issued (enumerated) on 2015-09-23. The NPPES record was last updated on 2025-04-16.

Practice Location Map

The Stop & Shop Supermarket Company, Llc is located at 92-10 Atlantic Ave, Ozone Park, NY. Use the map below to find directions or verify the practice location.

📍 92-10 Atlantic Ave, Ozone Park, NY 11417  ·  Open in Google Maps ↗

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.

Data Verified from CMS NPPES Last synced: 2026-06-20 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162