Grade A Shoprite Of Southbury Llc
Community/Retail Pharmacy
775 Main St S, Southbury
Connecticut, 06488-2271
203-267-7422 203-267-7454
Grade A Shoprite Of Southbury Llc is a Community/Retail Pharmacy in Southbury, Connecticut. It is located at 775 Main St S, Southbury and it's customer support contact number is 203-267-7422. The authorized person of Grade A Shoprite Of Southbury 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 Shoprite Of Southbury Llc is PCY0002168 for Community/Retail Pharmacy in Connecticut. Grade A Shoprite Of Southbury Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Grade A Shoprite Of Southbury 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 Shoprite Of Southbury 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 Shoprite Of Southbury Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 775 Main St S, Southbury,
Connecticut, 06488-2271 |
| Phone: | 203-267-7422 |
| Fax: | 203-267-7454 |
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: | 1588987515 |
| NPI Enumeration Date: | 04 Mar, 2010 |
| NPI Last Update On: | 19 Sep, 2025 |
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 Shoprite Of Southbury Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | PCY0002168 | Connecticut | Primary | |
| 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 |
| 008017634 | Medicaid | Connecticut | |
| 2124367 | Other | | Pk |
Medicare Enrollment:
Grade A Shoprite Of Southbury 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 |
| 5193913010 | O20101220000527 | Grade A Shoprite Of Southbury Llc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
| 5193913010 | O20110309000922 | Grade A Shoprite Of Southbury Llc | DME SUPPLIER - PHARMACY |
Products Available:
Grade A Shoprite Of Southbury Llc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • 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: | 203-267-7422 |
Patients can reach Grade A Shoprite Of Southbury Llc at
775 Main St S, Southbury, Connecticut or can
call on customer care at 203-267-7422.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.