Organization
THE STOP & SHOP SUPERMARKET COMPANY LLC
Active
Other names
STOP AND SHOP PHARMACY #429
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER WHEELER (PRESIDENT OF PHARMACY)
(617) 689-4130
Entity
Organization
Contact information
Practice address
1100 MASSACHUSETTS AVE, DORCHESTER, MA 02125-1606
(617) 541-4300
(617) 541-4309
Mailing address
1100 MASSACHUSETTS AVE, DORCHESTER, MA 02125-1606
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
2283
MA
333600000X
Pharmacy
2283
MA
3336C0003X
Community/Retail Pharmacy
Primary
2283
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0409499
—
MA
01
—
2233269
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/07/2006
Last updated
05/01/2026
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