SHOPRITE PHARMACY OF LODI – NPI #1790823706
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

SHOPRITE PHARMACY OF LODI is a pharmacy located in LODI, NJ. NPPES has assigned the NPI number 1790823706 to SHOPRITE PHARMACY OF LODI on February 02, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SHOPRITE PHARMACY OF LODI” is a dba name, the actual legal business name for this organization is INSERRA SUPERMARKETS INC.. The primary taxonomy selected by this provider is 333600000X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy.

The NPI profile was previously updated about 15 years ago on Aug 03, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SHOPRITE PHARMACY OF LODI below.

NPI Profile for
INSERRA SUPERMARKETS INC.

NPI Number
1790823706
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
INSERRA SUPERMARKETS INC.
Doing Business As (dba): SHOPRITE PHARMACY OF LODI
Primary location
175 MAIN STREET
LODI, NJ 07644
Phone: (973) 365-2289 Fax: (973) 365-0925
Mailing address
PO BOX 8500-51250
PHILADELPHIA, PA 19178-0001
Phone: (973) 365-2289 Fax: (973) 365-0925
Organization Subpart
No
Authorized Official
MELISSA FIGUEROA RIVERA
THIRD PARTY ADMINISTRATOR
Phone: (732) 521-8439
Updated
Identifiers

Identifiers for SHOPRITE PHARMACY OF LODI

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICAID DMENJ4366310
OTHERNCPDPNJ3127241
MEDICAIDNJ4366301
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
333600000X
- Pharmacy (Primary)
NJ RS003702

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.