Organization
JANSON SUPERMARKETS LLC
Active
Other names
SHOPRITE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
335 NESCONSET HWY, HAUPPAUGE, NY 11788-2516
(631) 979-9121
(631) 979-9125
Mailing address
335 NESCONSET HWY, HAUPPAUGE, NY 11788-2516
(631) 979-9121
(631) 979-9125
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
024074
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01902941
—
NY
01
—
2059161
PK
—
Enumeration date
08/20/2006
Last updated
09/19/2025
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