Organization
THE STOP & SHOP SUPERMARKET COMPANY LLC
Active
Other names
STOP AND SHOP PHARMACY 840
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER WHEELER (PRESIDENT)
(617) 689-4130
Entity
Organization
Contact information
Practice address
55 BRICK BLVD STE 1, BRICK, NJ 08723-7922
(732) 255-2660
(732) 255-8406
Mailing address
55 BRICK BLVD STE 1, BRICK, NJ 08723-7922
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
RS02162
NJ
333600000X
Pharmacy
RS02162
NJ
3336C0003X
Community/Retail Pharmacy
Primary
RS02162
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3143182
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
8614105
—
NJ
Enumeration date
07/07/2006
Last updated
05/01/2026
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