Organization
THE STOP & SHOP SUPERMARKET COMPANY LLC
Active
Parent organization
AHOLD USA
Other names
STOP AND SHOP PHARMACY 823
Organization subpart
Yes
Provider details
NPI number
Legal business name
AHOLD USA
Authorized official
ROGER WHEELER (PRESIDENT)
(617) 689-4130
Entity
Organization
Contact information
Practice address
5 TOWN CENTER DRIVE, SPARTA, NJ 07871-1821
(973) 729-9161
(973) 729-0515
Mailing address
1149 HARRISBURG PIKE, THIRD PARTY COORDINATOR, CARLISLE, PA 17013-1607
(717) 960-8553
(717) 960-1389
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
5993
NJ
333600000X
Pharmacy
5993
NJ
3336C0003X
Community/Retail Pharmacy
Primary
5993
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3143170
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
8614709
—
NJ
Enumeration date
07/07/2006
Last updated
09/17/2025
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