Grade A Market Derby Llc is an authorized DME supplier for medicare equipments and products.
Grade A Market Derby Llc is a Community/Retail Pharmacy in Derby, Connecticut. It is located at 49 Pershing Dr, Derby and it's customer support contact number is 203-736-1055. The authorized person of Grade A Market Derby Llc is Melissa Figueroa Rivera who is Third Party Administrator of the pharmacy and his contact number is 732-521-8439. Active license number of Grade A Market Derby Llc is PCY0001803 for Community/Retail Pharmacy in Connecticut. Grade A Market Derby Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Grade A Market Derby Llc is 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.
Pharmacy Details:
Grade A Market Derby Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Grade A Market Derby Llc
Type:
Community/Retail Pharmacy
Location:
49 Pershing Dr, Derby, Connecticut, 06418-1406
Phone:
203-736-1055
Fax:
203-736-1007
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Melissa Figueroa Rivera
Position:
Third Party Administrator
Contact Number:
732-521-8439
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1548311848
NPI Enumeration Date:
15 Jan, 2007
NPI Last Update On:
17 Nov, 2017
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Grade A Market Derby Llc are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
PCY0001803
Connecticut
Primary
Durable Medical Equipment & Medical Supplies
Secondary
Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0719178
Other
Ncpdp Provider Identification Number
004222923
Medicaid
Connecticut
Medicare Enrollment:
Grade A Market Derby Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
1153534722
O20100930045389
Shoprite Pharmacy 396
DME SUPPLIER - PHARMACY
1153534722
O20110613000052
Shoprite Pharmacy 396
PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)
Products Available:
Grade A Market Derby Llc has following products available for sale under medicare.
Products
Blood Glucose Monitors & Supplies: Mail Order
Blood Glucose Monitors & Supplies: Non-mail Order
Nebulizer Equipment & Supplies
Orthoses: Off-the-shelf
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 15169, Newark, New Jersey
Zip:
07192-5169
Phone Number:
--
Fax Number:
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Patients can reach Grade A Market Derby Llc at 49 Pershing Dr, Derby, Connecticut or can call on customer care at 203-736-1055.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.