Organization
VILLAGE SUPER MARKET OF NJ, LP
Active
Other names
SHOPRITE PHARMACY OF GARWOOD
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8448
Entity
Organization
Contact information
Practice address
563 NORTH AVE, GARWOOD, NJ 07027-1016
(908) 654-6950
Mailing address
733 MOUNTAIN AVE, SPRINGFIELD, NJ 07081-3223
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
RS006046
NJ
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3143764
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
8662509
—
NJ
Enumeration date
08/20/2006
Last updated
10/13/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us