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STOP AND SHOP PHARMACY #688
NPI 1669491692
Pharmacy - Community/Retail Pharmacy in Old Saybrook, CT

Active since July 19, 2006CLIA 07D2111022 · Waiver
105 ELM ST, OLD SAYBROOK, CT 06475(860) 388-6461(860) 388-5145 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 23, 2024, Jul 30, 2024 (2 updates tracked since 2024).

About Stop And Shop Pharmacy #688 NPPES

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

STOP AND SHOP PHARMACY #688 (NPI 1669491692) is a healthcare organization registered as a community/retail pharmacy in Old Saybrook, Connecticut and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through March 28, 2028 and lists Gordon Reid, President, as its authorized official.

NPPES Registry Identity

NPI1669491692
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameTHE STOP & SHOP SUPERMARKET COMPANY, LLC
Location Address105 ELM STOld Saybrook, CT 06475-4132
Mailing Address105 Elm StOld Saybrook, CT 06475-4132
Phone(860) 388-6461
Fax(860) 388-5145
Organization SubpartNo
Authorized OfficialGordon ReidPresident · (301) 341-3906
Enumeration DateJuly 19, 2006
Last NPPES UpdateSeptember 23, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2024
✔ NPI 1669491692 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 · 1357
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 1357 (CT)
Also ListedPharmacyTaxonomy 333600000X · License 1357 (CT)
105 ELM ST, Old Saybrook, CT 06475
Open in Google Maps ↗

Other Names 1

Doing Business AsStop And Shop Pharmacy #688

Other Identifiers 2

Other0713138Other Id Number-commercial Number
Medicaid940004089894CT

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 07D2111022

Stop & Shop Pharmacy #688 · Old Saybrook, CT
Active · expires Mar 28, 2028
CLIA Number07D2111022
Laboratory TypePharmacy
Certificate Effective DateMarch 29, 2026
Certificate Expiration DateMarch 28, 2028
Laboratory DirectorBrittany Orlando
Laboratory Phone(860) 388-6461
Laboratory LocationStop & Shop Pharmacy #688105 Elm St, Old Saybrook, CT 06475
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.
180 services179 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.
127 services127 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.
50 services50 patients

Medical Equipment Supplier Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Stop & Shop Pharmacy #688 carries, from the Medicare DMEPOS supplier directory.

Stop & Shop Pharmacy #688

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

Accepts Medicare assignment

Stop & Shop Pharmacy #688 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)20549021
Medicare Participant SinceSeptember 1, 2009
Supplier Location105 Elm StOld Saybrook, CT 06475
Phone(860) 388-6461
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 8

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

GABRIELLE FAILLE ANDRADE
Pharmacist
105 ELM ST
OLD SAYBROOK, CT 06475
Lower Connecticut River Valley Planning Region (860) 388-6461
DR. ANN MARGARET MOSER O.D.
Optometrist
105 ELM ST, UNIT 16 - OLD SAYBROOK SHOPPING CENTER
OLD SAYBROOK, CT 06475
Lower Connecticut River Valley Planning Region (860) 388-4394
MICHELE ROLLINS RPH
Pharmacist
105 ELM ST
OLD SAYBROOK, CT 06475
Lower Connecticut River Valley Planning Region (860) 388-6461
KENNEDY & PERKINS. INC.
Eyewear Supplier
105 ELM ST, UNIT 15
OLD SAYBROOK, CT 06475
Lower Connecticut River Valley Planning Region (860) 388-4394
CHRISTINE MAJOR
Pharmacist
105 ELM ST
OLD SAYBROOK, CT 06475
Lower Connecticut River Valley Planning Region (860) 388-6461
MIRANDA ROSE MORMAN PHARMD
Pharmacist
105 ELM ST
OLD SAYBROOK, CT 06475
Lower Connecticut River Valley Planning Region (860) 388-6461
MR. COSMO J GIORNO B.S., R.PH.
Pharmacist
105 ELM ST
OLD SAYBROOK, CT 06475
Lower Connecticut River Valley Planning Region (860) 388-6461
DR. ALYSSA BOGAN PHARMD
Pharmacist
105 ELM ST
OLD SAYBROOK, CT 06475
Lower Connecticut River Valley Planning Region (860) 388-6461

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 1669491692. It was assigned to this organization in the NPPES registry on July 19, 2006. The provider is doing business as Stop And Shop Pharmacy #688.

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

The Stop & Shop Supermarket Company, LLC is located at 105 Elm St, Old Saybrook, CT 06475. The listed phone number is (860) 388-6461.

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 #688 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 07D2111022) is associated with this NPI, valid through March 28, 2028. 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 September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.