The Stop & Shop Supermarket Company LLC
Pharmacy, Community/Retail Pharmacy in Sparta, NJ. Organization (NPI-2).
NPI number1477585321
StatusActive
Last updated in NPPESSep 17, 2025
Details
- NPI
- 1477585321
- Entity type
- Organization (NPI-2)
- Legal business name
- The Stop & Shop Supermarket Company LLC
- Organization subpart
- Yes
- Enumeration date
- Jul 7, 2006
- Certification date
- Sep 17, 2025
- Last updated
- Sep 17, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · DME SUPPLIER - PHARMACY
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 5993 | NJ | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 5993 | NJ | |
| 333600000X | Pharmacy | 5993 | NJ |
Other names
- Stop And Shop Pharmacy 823 (Doing Business As)
Practice location
5 Town Center DriveSparta, NJ 07871-1821
Phone 973-729-9161 · Fax 973-729-0515
Mailing address
1149 Harrisburg PikeThird Party Coordinator
Carlisle, PA 17013-1607
Phone 717-960-8553 · Fax 717-960-1389
Authorized official
Roger Wheeler
President
6176894130
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Community/Retail Pharmacy providers in Sparta, NJ
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