# THE STOP & SHOP SUPERMARKET COMPANY, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** STOP AND SHOP PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912939893
- **Authorized official:** ROGER WHEELER (PRESIDENT OF PHARMACY)
- **Authorized official phone:** (207) 885-2518

## Contact information

- **Practice address:** 949 GRAFTON ST, WORCESTER, MA 01604-2003
- **Practice address phone:** (508) 791-2166
- **Practice address fax:** (508) 791-2060
- **Mailing address:** 949 GRAFTON ST, WORCESTER, MA 01604-2003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 2689 | MA | — |
| 333600000X | Pharmacy | 2689 | MA | — |
| 3336C0003X | Community/Retail Pharmacy | 2689 | MA | Yes |

## Other

- **Enumeration date:** 07/07/2006
- **Last updated:** 04/09/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0445746 | — | MA |
| 01 | — | 2236506 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |