# THE STOP & SHOP SUPERMARKET COMPANY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** STOP AND SHOP PHARMACY \#429
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972535854
- **Authorized official:** ROGER WHEELER (PRESIDENT OF PHARMACY)
- **Authorized official phone:** (617) 689-4130

## Contact information

- **Practice address:** 1100 MASSACHUSETTS AVE, DORCHESTER, MA 02125-1606
- **Practice address phone:** (617) 541-4300
- **Practice address fax:** (617) 541-4309
- **Mailing address:** 1100 MASSACHUSETTS AVE, DORCHESTER, MA 02125-1606

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 2283 | MA | — |
| 333600000X | Pharmacy | 2283 | MA | — |
| 3336C0003X | Community/Retail Pharmacy | 2283 | MA | Yes |

## Other

- **Enumeration date:** 07/07/2006
- **Last updated:** 05/01/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0409499 | — | MA |
| 01 | — | 2233269 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |