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STOP AND SHOP PHARMACY #652
NPI 1083646947
Pharmacy - Community/Retail Pharmacy in Clinton, CT

Active since July 07, 2006CLIA 07D2122606 · Waiver
215 E MAIN ST, CLINTON, CT 06413(860) 669-6636(860) 664-9315 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stop And Shop Pharmacy #652 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STOP AND SHOP PHARMACY #652 (NPI 1083646947) is a healthcare organization registered as a community/retail pharmacy in Clinton, Connecticut and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through November 30, 2026 and lists Brad Dayton, Director, as its authorized official.

NPPES Registry Identity

NPI1083646947
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameTHE STOP & SHOP SUPERMARKET COMPANY, LLC
Location Address215 E MAIN STClinton, CT 06413-2200
Mailing Address215 E Main StClinton, CT 06413-2200
Phone(860) 669-6636
Fax(860) 664-9315
Organization SubpartNo
Authorized OfficialBrad DaytonDirector · (617) 770-8782
Enumeration DateJuly 7, 2006
Last NPPES UpdateOctober 31, 2024
NPPES CertifiedOctober 31, 2024
✔ NPI 1083646947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in CT · 1232
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 1232 (CT)
Also ListedPharmacyTaxonomy 333600000X · License 1232 (CT)
215 E MAIN ST, Clinton, CT 06413
Open in Google Maps ↗

Other Names 1

Doing Business AsStop And Shop Pharmacy #652

Other Identifiers 2

Other0711994Other Id Number-commercial Number
Medicaid940004058517CT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D2122606

Stop & Shop Pharmacy #652 · Clinton, CT
Active · expires Nov 30, 2026
CLIA Number07D2122606
Laboratory TypePharmacy
Certificate Effective DateDecember 1, 2024
Certificate Expiration DateNovember 30, 2026
Laboratory DirectorBrittany Orlando
Laboratory Phone(860) 669-6636
Laboratory LocationStop & Shop Pharmacy #652215 East Main St, Clinton, CT 06413
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
68 services68 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
55 services55 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
11 services11 patients

Medical Equipment Supplier Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Stop & Shop Pharmacy #652 carries, from the Medicare DMEPOS supplier directory.

Stop & Shop Pharmacy #652

DMEPOS supplier · Clinton, CTOperated by The Stop & Shop Supermarket Company, LLC
✔

Accepts Medicare assignment

Stop & Shop Pharmacy #652 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20548853
Medicare Participant SinceSeptember 1, 2009
Supplier Location215E Main StClinton, CT 06413
Phone(860) 669-6636
Supplier Specialties
Pharmacy Grocery Store

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PTSMA, INC.
Clinic/Center (Physical Therapy)
215 E MAIN ST
CLINTON, CT 06413
Lower Connecticut River Valley Planning Region (717) 972-1100
DR. MELANIE MASSE PHARM.D.
Pharmacist
215 E MAIN ST
CLINTON, CT 06413
Lower Connecticut River Valley Planning Region (860) 669-6636
MICHELE MARCINIAK PHARMACIST
Pharmacist
215 E MAIN ST
CLINTON, CT 06413
Lower Connecticut River Valley Planning Region (860) 669-6636
JEREMY TUCKER
Pharmacist
215 E MAIN ST
CLINTON, CT 06413
Lower Connecticut River Valley Planning Region (860) 669-6636
SHAWN O'ROURKE RPH
Pharmacist
215 E MAIN ST
CLINTON, CT 06413
Lower Connecticut River Valley Planning Region (860) 669-6636

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Stop & Shop Supermarket Company, LLC's NPI number?

The NPI number for The Stop & Shop Supermarket Company, LLC is 1083646947. It was assigned to this organization in the NPPES registry on July 7, 2006. The provider is doing business as Stop And Shop Pharmacy #652.

Where is The Stop & Shop Supermarket Company, LLC located?

The Stop & Shop Supermarket Company, LLC is located at 215 E Main St, Clinton, CT 06413. The listed phone number is (860) 669-6636.

What is The Stop & Shop Supermarket Company, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does The Stop & Shop Supermarket Company, LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Stop & Shop Pharmacy #652 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does The Stop & Shop Supermarket Company, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2122606) is associated with this NPI, valid through November 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does The Stop & Shop Supermarket Company, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 42 other insurers list The Stop & Shop Supermarket Company, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for The Stop & Shop Supermarket Company, LLC was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.