Organization
SHAWS SUPERMARKETS INC
Active
Organization
SHAWS SUPERMARKETS INC
Active
Other names
Shaws Pharmacy #0608
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
200 LOWER MAIN ST, FREEPORT, ME 04032
(207) 865-0205
(207) 865-0567
Mailing address
250 E PARKCENTER BLVD, MAILSTOP SEC2-B, BOISE, ID 83706-3940
(208) 395-6200
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH50001468
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144820009
—
ME
01
—
2037569
PK
—
Enumeration date
05/26/2006
Last updated
10/04/2024
Update your record
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 at https://nppes.cms.hhs.gov.
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