MEDICARE: SAKER SHOPRITES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy	RS002171	NJ
2	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	3110765	OTHER	OTHER ID NUMBER-COMMERCIAL NUMBER
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225143092
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAKER SHOPRITES INC

Provider Business Mailing Address
First Line	:	922 HIGHWAY 33
Second Line	:	BUILDING 6
City	:	FREEHOLD
State	:	NJ
Zip	:	07728-8439
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4594 US HIGHWAY 9
Second Line	:
City	:	HOWELL
State	:	NJ
Zip	:	07731-3771
Country	:	US
Telephone Number	:	732-363-9245
Fax Number	:	732-370-8024

Authorized Official
Title or Position	:	THIRD PARTY ADMINISTRATOR
Name	:	MELISSA FIGUEROA RIVERA
Credential	:
Telephone Number	:	732-521-8439

Provider Enumeration Date	:	08/20/2006
Last Update Date	:	05/03/2015

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Directions to “SAKER SHOPRITES INC ” Practice Location

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