Inserra Supermarket Inc
Pharmacy
175 Main Street, Lodi
New Jersey, 07644
973-365-2289 973-365-0925
Inserra Supermarket Inc is a Pharmacy in Lodi, New Jersey. It is located at 175 Main Street, Lodi and it's customer support contact number is 973-365-2289. The authorized person of Inserra Supermarket Inc is Melissa Figueroa Rivera who is Third Party Administrator of the pharmacy and his contact number is 732-521-8439. Active license number of Inserra Supermarket Inc is RS003702 for Pharmacy in New Jersey. Inserra Supermarket Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Inserra Supermarket Inc is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
Inserra Supermarket Inc 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: | Inserra Supermarket Inc |
| Type: | Pharmacy |
| Location: | 175 Main Street, Lodi,
New Jersey, 07644 |
| Phone: | 973-365-2289 |
| Fax: | 973-365-0925 |
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: | 1790823706 |
| NPI Enumeration Date: | 02 Feb, 2007 |
| NPI Last Update On: | 31 Aug, 2026 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Inserra Supermarket Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacy | RS003702 | New Jersey | Primary | |
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 |
| 3127241 | Other | New Jersey | Ncpdp |
| 4366310 | Other | New Jersey | Medicaid Dme |
| 4366301 | Medicaid | New Jersey | |
Medicare Enrollment:
Inserra Supermarket Inc 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 |
| 9436276185 | O20100930089104 | Inserra Supermarket Incorporated | DME SUPPLIER - PHARMACY |
| 9436276185 | O20111013000093 | Inserra Supermarket Incorporated | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Products Available:
Inserra Supermarket Inc 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 21158,
New York, New York |
| Zip: | 10087-1158 |
| Phone Number: | 973-365-2289 |
| Fax Number: | 973-365-0925 |
Patients can reach Inserra Supermarket Inc at
175 Main Street, Lodi, New Jersey or can
call on customer care at 973-365-2289.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 September, 2026.