Organization
VILLAGE SUPER MARKET OF NJ LP
Active
Other names
ShopRite Pharmacy of Elizabeth
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8448
Entity
Organization
Contact information
Practice address
865 W GRAND ST, ELIZABETH, NJ 07202-1001
(908) 558-0049
(908) 558-8991
Mailing address
733 MOUNTAIN AVE, SPRINGFIELD, NJ 07081-3223
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
RS004607
NJ
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3132951
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
5113407
—
NJ
Enumeration date
08/20/2006
Last updated
06/25/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up