Grade A Market Derby Llc
Community/Retail Pharmacy
49 Pershing Dr, Derby
Connecticut, 06418-1406
203-736-1055 203-736-1007
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: | -- |
Patients can reach Grade A Market Derby Llc at
49 Pershing Dr, Derby, Connecticut or can
call on customer care at 203-736-1055.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.