OrganizationActive
Shaws Supermarkets Inc
NPI 1023064045 · Community/Retail Pharmacy · Manchester, CT
Provider details
- NPI number
- 1023064045
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Demond Hawkins, Third Party Manager(208) 395-3905
Specialties & taxonomies
Suppliers
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
425 Broad St
Manchester, CT 06040-4035
Phone: (860) 643-3477
Fax: (860) 643-3472
Street-level locationGet directions
Mailing address
3030 Cullerton St
Franklin Park, IL 60131-2205
Registry dates
- Enumerated
- 2006-05-25
- Last updated
- 2018-01-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.