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THE STOP & SHOP SUPERMARKET COMPANY, LLC
NPI 1366795809
Pharmacy - Community/Retail Pharmacy in Revere, MA

Active since October 22, 2012
40 FURLONG DR, REVERE, MA 02151(781) 284-0717 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About The Stop & Shop Supermarket Company, Llc NPPES

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

THE STOP & SHOP SUPERMARKET COMPANY, LLC (NPI 1366795809), doing business as Stop And Shop Pharmacy # 11, is a healthcare organization registered as a community/retail pharmacy in Revere, Massachusetts and active in the NPI registry since October 2012. The organization lists Roger Wheeler, President Of Pharmacy, as its authorized official.

NPPES Registry Identity

NPI1366795809
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameTHE STOP & SHOP SUPERMARKET COMPANY, LLC
Location Address40 FURLONG DRRevere, MA 02151-4006
Mailing Address1149 Harrisburg PikeCarlisle, PA 17013-1607 · (717) 240-5520 · Fax (717) 960-8371
Phone(781) 284-0717
Organization SubpartNo
Authorized OfficialRoger WheelerPresident Of Pharmacy · (207) 885-2518
Enumeration DateOctober 22, 2012
Last NPPES UpdateApril 9, 2025
NPPES CertifiedApril 9, 2025
✔ NPI 1366795809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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.

40 FURLONG DR, Revere, MA 02151
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Other Names 1

Doing Business AsStop And Shop Pharmacy # 11

Other Identifiers 1

Medicaid110000063UMA

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 ›

Areas of Expertise CMS Part B claims 5

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.
115 services114 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.
58 services58 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.
47 services46 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
11 services11 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
11 services11 patients

Medical Equipment Supplier Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Stop And Shop Pharmacy #11 carries, from the Medicare DMEPOS supplier directory.

Stop And Shop Pharmacy #11

DMEPOS supplier · Revere, MAOperated by The Stop & Shop Supermarket Company, LLC
✔

Accepts Medicare assignment

Stop And Shop Pharmacy #11 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)20549543
Medicare Participant SinceSeptember 1, 2009
Supplier Location40 Furlong DrRevere, MA 02151
Phone(781) 485-0080
Supplier Specialties
Pharmacy

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 3

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

CHELSEA CLIFFORD
Pharmacist
40 FURLONG DR
REVERE, MA 02151
Suffolk County (781) 485-0080
MRS. CECILIA CHENG RPH
Pharmacist
40 FURLONG DR
REVERE, MA 02151
Suffolk County (781) 485-0080
JOHN TORRES
Pharmacist
40 FURLONG DR
REVERE, MA 02151
Suffolk County (781) 485-0080

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 1366795809. It was assigned to this organization in the NPPES registry on October 22, 2012.

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

The Stop & Shop Supermarket Company, LLC is located at 40 Furlong Dr, Revere, MA 02151. The listed phone number is (781) 284-0717.

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 And Shop Pharmacy #11 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

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 April 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.