Patchogue Supermarkets LLC

Community/Retail Pharmacy · Patchogue, NY

Organization Active NPI

NPI number 1831483007

Practice location

95 Sunrise Hwy W
Patchogue, NY 11772-1847
Phone
(631) 286-5030
Fax
(631) 286-5031

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NPI record

NPI
1831483007
Entity type
Organization (Type 2)
Enumeration date
June 6, 2011
Last updated
September 19, 2025
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Community/Retail Pharmacy Primary 3336C0003X 030921 NY
Pharmacy 333600000X — —

Mailing address

P.O. Box 15169
Newark, NJ 07192
Phone
(631) 286-5030

Authorized official

Name
Melissa Figueroa Rivera
Title
Third Party Administrator
Phone
(732) 521-8439

Other names

  • Patchogue Supermarkets LLC

About Patchogue Supermarkets LLC

Patchogue Supermarkets LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Community/Retail Pharmacy (code 3336C0003X). The practice location is 95 Sunrise Hwy W, Patchogue, NY 11772-1847. The NPI number 1831483007 was assigned on June 6, 2011 and the record was last updated on September 19, 2025.

Patchogue Supermarkets LLC lists a license in the registry: #030921 (NY) for Community/Retail Pharmacy. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Melissa Figueroa Rivera, Third Party Administrator.

Frequently asked questions

What is the NPI number of Patchogue Supermarkets LLC?

The NPI number is 1831483007.

What is the phone number of Patchogue Supermarkets LLC?

The phone number listed for the practice location is (631) 286-5030.

Where is Patchogue Supermarkets LLC located?

95 Sunrise Hwy W, Patchogue, NY 11772-1847.

What is the taxonomy code for Patchogue Supermarkets LLC?

The primary taxonomy code is 3336C0003X – Community/Retail Pharmacy; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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