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STOP AND SHOP PHARMACY #579
NPI 1932131893
Pharmacy - Community/Retail Pharmacy in Coram, NY

Active since July 07, 2006
294 MIDDLE COUNTRY RD, CORAM, NY 11727(631) 736-5168(631) 736-5733 Get Directions Write a Review

NPPES record last updated: October 19, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stop And Shop Pharmacy #579 NPPES

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

STOP AND SHOP PHARMACY #579 (NPI 1932131893) is a healthcare organization registered as a community/retail pharmacy in Coram, New York and active in the NPI registry since July 2006. The organization lists Brad Dayton, Director, as its authorized official.

NPPES Registry Identity

NPI1932131893
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSTOP AND SHOP SUPERMARKET CO LLC
Location Address294 MIDDLE COUNTRY RDCoram, NY 11727-4428
Mailing Address294 Middle Country RdCoram, NY 11727-4428
Phone(631) 736-5168
Fax(631) 736-5733
Organization SubpartNo
Authorized OfficialBrad DaytonDirector · (617) 770-8782
Enumeration DateJuly 7, 2006
Last NPPES UpdateOctober 19, 2011
✔ NPI 1932131893 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 NY · 026960
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 026960 (NY)
Also ListedPharmacyTaxonomy 333600000X · License 026960 (NY)
294 MIDDLE COUNTRY RD, Coram, NY 11727
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Other Names 1

Doing Business AsStop And Shop Pharmacy #579

Other Identifiers 3

Other3339707Other Id Number-commercial Number
Medicare NSC0575340268NY
Medicaid02598790NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 2

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

GARY M JORDAN RPH
Pharmacist
294 MIDDLE COUNTRY RD
CORAM, NY 11727
Suffolk County (631) 736-5168
NILPUAR RAHMAN RPH
Pharmacist
294 MIDDLE COUNTRY RD
CORAM, NY 11727
Suffolk County (631) 736-5168

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 Stop And Shop Supermarket Co LLC's NPI number?

The NPI number for Stop And Shop Supermarket Co LLC is 1932131893. It was assigned to this organization in the NPPES registry on July 7, 2006. The provider is doing business as Stop And Shop Pharmacy #579.

Where is Stop And Shop Supermarket Co LLC located?

Stop And Shop Supermarket Co LLC is located at 294 Middle Country Rd, Coram, NY 11727. The listed phone number is (631) 736-5168.

What is Stop And Shop Supermarket Co LLC's specialty?

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

What insurance does Stop And Shop Supermarket Co LLC accept?

Health plans from Medica and Moda Health Plan, Inc. list Stop And Shop Supermarket Co 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 Stop And Shop Supermarket Co LLC was last updated on October 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.