Organization
GLN SHOP ASSOCIATES LLC
Active
Other names
Shop Rite Pharmacy Dept 178
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
206 SPRINGFIELD AVE, NEWARK, NJ 07103-2916
(973) 877-3641
Mailing address
PO BOX 15169, NEWARK, NJ 07192-5169
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00743800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0507016
—
NJ
01
—
2152800
PK
—
Enumeration date
06/08/2015
Last updated
04/11/2025
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