Stop and Shop Supermarket Co LLC
NPI 1114959079 · Community/Retail Pharmacy · Lake Ronkonkoma, NY
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stop and Shop Supermarket Co LLC is a Community/Retail Pharmacy organization in Lake Ronkonkoma, NY (NPI 1114959079).
Provider details
- NPI number
- 1114959079
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Brad Dayton, Director(617) 770-8782
- License
- 026854 (NY)
Specialties & taxonomies
Suppliers
Suppliers
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
296 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Administration of Influenza Virus VaccineG0008 | 165 | $37 |
| Admn Sarscov2 Vacc 1 Dose90480 | 131 | $49 |
Typical Medicare-allowed amounts for these services range $37–$49 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Stop and Shop Pharmacy #544
Registry dates
- Enumerated
- 2006-07-07
- Last updated
- 2011-10-19
Frequently asked questions
- What is Stop and Shop Supermarket Co LLC's NPI number?
- Stop and Shop Supermarket Co LLC's National Provider Identifier (NPI) is 1114959079, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Stop and Shop Supermarket Co LLC?
- Stop and Shop Supermarket Co LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Stop and Shop Supermarket Co LLC located?
- Stop and Shop Supermarket Co LLC's practice location on file with NPPES is 425 Portion Rd, Lake Ronkonkoma, NY 11779-4579.
- What is Stop and Shop Supermarket Co LLC's phone number?
- The practice phone number listed in the NPPES registry for Stop and Shop Supermarket Co LLC is (631) 737-1736.
- Does Stop and Shop Supermarket Co LLC accept Medicare?
- Stop and Shop Supermarket Co LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Stop and Shop Supermarket Co LLC?
- The authorized official listed on Stop and Shop Supermarket Co LLC's NPPES record is Brad Dayton, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Stop and Shop Supermarket Co LLC's NPI active?
- Yes — Stop and Shop Supermarket Co LLC's NPI (1114959079) is active in the NPPES registry as of the last update on 2011-10-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.