Provider Demographics
NPI:1699083584
Name:SAKER SHOPRITES INC.
Entity type:Organization
Organization Name:SAKER SHOPRITES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PHARMACY
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:E
Authorized Official - Last Name:FELLER
Authorized Official - Suffix:
Authorized Official - Credentials:RP
Authorized Official - Phone:732-294-2278
Mailing Address - Street 1:922 HIGHWAY 33
Mailing Address - Street 2:BLDG 6, SUITE 1
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-8439
Mailing Address - Country:US
Mailing Address - Phone:732-294-2278
Mailing Address - Fax:732-294-2317
Practice Address - Street 1:922 HIGHWAY 33
Practice Address - Street 2:BLDG 6, SUITE 1
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-8439
Practice Address - Country:US
Practice Address - Phone:732-294-2278
Practice Address - Fax:732-294-2317
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-14
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5914030005Medicare NSC
NJ5914030006Medicare NSC
NJ5914030021Medicare NSC
NJ5914030022Medicare NSC
NJ5914030010Medicare NSC
NJ5914030025Medicare NSC
NJ5914030011Medicare NSC
NJ5914030016Medicare NSC
NJ5914030017Medicare NSC
NJ5914030024Medicare NSC
NJ5914030001Medicare NSC
NJ5914030003Medicare NSC
NJ5914030009Medicare NSC
NJ5914030019Medicare NSC
NJ5914030012Medicare NSC
NJ5914030008Medicare NSC
NJ5914030026Medicare NSC
NJ5914030004Medicare NSC
NJ5914030007Medicare NSC
NJ5914030013Medicare NSC
NJ5914030015Medicare NSC
NJ5914030018Medicare NSC
NJ5914030020Medicare NSC
NJ5914030014Medicare NSC
NJ5914030023Medicare NSC
NJ5914030002Medicare NSC