Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
STOP & SHOP SUPERMARKET COMPANY LLC
Active
Organization
STOP & SHOP SUPERMARKET COMPANY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD DAYTON (DIRECTOR PHARMACY SYSTEMS)
(617) 770-8782
Entity
Organization
Contact information
Practice address
999 MONTAUK HWY, SHIRLEY, NY 11967-2130
(631) 281-3610
(631) 281-8924
Mailing address
999 MONTAUK HWY, SHIRLEY, NY 11967-2130
(631) 281-3610
(631) 281-8924
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02949237
—
NY
01
—
3357084
NCPDP
NY
Enumeration date
12/13/2007
Last updated
12/28/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up