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STOP AND SHOP PHARMACY #628
NPI 1972535839
Pharmacy - Community/Retail Pharmacy in Bristol, CT

Active since July 07, 2006CLIA 07D2102270 · Waiver
597 FARMINGTON AVE, BRISTOL, CT 06010(860) 582-4080(860) 852-1822 Get Directions Write a Review

NPPES record last updated: October 21, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stop And Shop Pharmacy #628 NPPES

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

STOP AND SHOP PHARMACY #628 (NPI 1972535839) is a healthcare organization registered as a community/retail pharmacy in Bristol, Connecticut and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through September 17, 2027 and lists Brad Dayton, Director, as its authorized official.

NPPES Registry Identity

NPI1972535839
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSTOP AND SHOP SUPERMARKET CO LLC
Location Address597 FARMINGTON AVEBristol, CT 06010-3932
Mailing Address597 Farmington AveBristol, CT 06010-3932
Phone(860) 582-4080
Fax(860) 852-1822
Organization SubpartNo
Authorized OfficialBrad DaytonDirector · (617) 770-8782
Enumeration DateJuly 7, 2006
Last NPPES UpdateOctober 21, 2011
✔ NPI 1972535839 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 · 1315
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 1315 (CT)
Also ListedPharmacyTaxonomy 333600000X · License 1315 (CT)
597 FARMINGTON AVE, Bristol, CT 06010
Open in Google Maps ↗

Other Names 1

Doing Business AsStop And Shop Pharmacy #628

Other Identifiers 3

Medicaid940004075545CT
Other0712465Other Id Number-commercial Number
Medicare NSC0575340028CT

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 07D2102270

Stop & Shop Pharmacy #628 · Bristol, CT
Active · expires Sep 17, 2027
CLIA Number07D2102270
Laboratory TypePharmacy
Certificate Effective DateSeptember 18, 2025
Certificate Expiration DateSeptember 17, 2027
Laboratory DirectorBrittany Orlando
Laboratory Phone(860) 582-4080
Laboratory LocationStop & Shop Pharmacy #628597 Farmington Ave, Bristol, CT 06010
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 2

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.
51 services51 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.
41 services41 patients

Medical Equipment Supplier Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Stop And Shop Supermarket Co LLC carries, from the Medicare DMEPOS supplier directory.

Stop And Shop Supermarket Co LLC

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

Accepts Medicare assignment

Stop And Shop Supermarket Co LLC 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)20548865
Medicare Participant SinceSeptember 1, 2009
Supplier Location597 Farmington Ave Stop & Shop Pharmacy #628Bristol, CT 06010
Phone(860) 582-4080
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 4

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

DR. ANGELA FORTUNE PHARMD
Pharmacist
597 FARMINGTON AVE
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 582-4080
SAMANTHA ANNE FRACZEK
Pharmacist
597 FARMINGTON AVE
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 582-4080
DANIEL FOX PHARM D
Pharmacist
597 FARMINGTON AVE
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 582-4080
SHARLENE SAVAGE PHARM.D
Pharmacist
597 FARMINGTON AVE
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 582-4080

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 1972535839. It was assigned to this organization in the NPPES registry on July 7, 2006. The provider is doing business as Stop And Shop Pharmacy #628.

Where is Stop And Shop Supermarket Co LLC located?

Stop And Shop Supermarket Co LLC is located at 597 Farmington Ave, Bristol, CT 06010. The listed phone number is (860) 582-4080.

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.

Does Stop And Shop Supermarket Co LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Stop And Shop Supermarket Co LLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Stop And Shop Supermarket Co LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2102270) is associated with this NPI, valid through September 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Stop And Shop Supermarket Co 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 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 21, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.