Stop And Shop Supermarket Co Llc
Community/Retail Pharmacy
425 Portion Rd, Lake Ronkonkoma
New York, 11779-4579
631-737-1736 631-737-2879
Stop And Shop Supermarket Co Llc is a Community/Retail Pharmacy in Lake Ronkonkoma, New York. It is located at 425 Portion Rd, Lake Ronkonkoma and it's customer support contact number is 631-737-1736. The authorized person of Stop And Shop Supermarket Co Llc is Brad Dayton who is Director of the pharmacy and his contact number is 617-770-8782. Active license number of Stop And Shop Supermarket Co Llc is 026854 for Community/Retail Pharmacy in New York. Stop And Shop Supermarket Co Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Stop And Shop Supermarket Co 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:
Stop And Shop Supermarket Co 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: | Stop And Shop Supermarket Co Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 425 Portion Rd, Lake Ronkonkoma,
New York, 11779-4579 |
| Phone: | 631-737-1736 |
| Fax: | 631-737-2879 |
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: | Brad Dayton |
| Position: | Director |
| Contact Number: | 617-770-8782 |
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: | 1114959079 |
| NPI Enumeration Date: | 07 Jul, 2006 |
| NPI Last Update On: | 19 Oct, 2011 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stop And Shop Supermarket Co Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 026854 | New York | Primary | |
| Pharmacy | 026854 | New York | Secondary | |
| Durable Medical Equipment & Medical Supplies | 026854 | New York | 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 |
| 3339618 | Other | | Other Id Number-commercial Number |
| 02586478 | Medicaid | New York | |
Medicare Enrollment:
Stop And Shop Supermarket Co 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 |
| 5698841864 | O20100930085023 | Stop And Shop Supermarket Co Llc | DME SUPPLIER - PHARMACY |
Products Available:
Stop And Shop Supermarket Co Llc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Canes & Crutches |
| • Commodes, Urinals, & Bedpans | • Diabetic Shoes & Inserts: Prefabricated |
| • Enteral Equipment And/or Supplies | • Enteral Nutrients |
| • Ostomy Supplies | • Surgical Dressings |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 425 Portion Rd,
Lake Ronkonkoma, New York |
| Zip: | 11779-4579 |
| Phone Number: | -- |
Patients can reach Stop And Shop Supermarket Co Llc at
425 Portion Rd, Lake Ronkonkoma, New York or can
call on customer care at 631-737-1736.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.