Organization
STOP AND SHOP SUPERMARKET CO LLC
Active
Other names
STOP AND SHOP PHARMACY #564
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD DAYTON (DIRECTOR)
(617) 770-8782
Entity
Organization
Contact information
Practice address
575 W MONTAUK HWY, WEST BABYLON, NY 11704-8308
(631) 321-9055
(631) 321-9072
Mailing address
575 W MONTAUK HWY, WEST BABYLON, NY 11704-8308
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
24790
NY
333600000X
Pharmacy
24790
NY
3336C0003X
Community/Retail Pharmacy
Primary
24790
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02079972
—
NY
01
—
3315050
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/07/2006
Last updated
10/19/2011
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