Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stop and Shop Supermarket Co LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1114959079

Stop and Shop Supermarket Co LLC is a Durable Medical Equipment & Medical Supplies in Lake Ronkonkoma, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

425 Portion Rd
Lake Ronkonkoma, NY 11779-4579
Phone: (631) 737-1736
Fax: (631) 737-2879
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 026854 (NY)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X · Licence 026854 (NY)
Pharmacy Taxonomy 333600000X · Licence 026854 (NY)

Record details

NPI number1114959079
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brad Dayton — Director · (617) 770-8782
Other names Stop And Shop Pharmacy #544
NPI enumeratedJuly 7, 2006
Last updated in NPPESOctober 19, 2011
Mailing address425 Portion Rd, Lake Ronkonkoma, NY 11779-4579

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