Healthcare Provider Details

I. General information

NPI: 1366587461
Provider Name (Legal Business Name): SAKER SHOPRITES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

668 ROUTE 70
BRICK NJ
08723
US

IV. Provider business mailing address

668 ROUTE 70
BRICK NJ
08723
US

V. Phone/Fax

Practice location:
  • Phone: 732-477-6733
  • Fax: 732-477-8221
Mailing address:
  • Phone: 732-477-6733
  • Fax: 732-477-8221

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberRS003323
License Number StateNJ

VIII. Authorized Official

Name: MELISSA FIGUEROA RIVERA
Title or Position: THIRD PARTY ADMINISTRATOR
Credential:
Phone: 731-521-8439