Shaws Supermarkets Inc
Shaws Supermarkets Inc is a healthcare organization registered as Community/Retail Pharmacy in Worcester, MA, holding Type 2 (organization) NPI 1629024153 since 2006. The authorized official on file is Kathy Giannakopoulos, Enrollment Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1629024153 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Shaws Supermarkets Inc |
| Other name | <Unavail> |
| Practice address | 14 W BOYLSTON ST, Worcester, MA, 01605 |
| Phone | 5088525344 |
| Fax | 5088526376 |
| Enumeration date | 2006-05-26 |
| Last updated in NPPES | 2024-07-08 |
Authorized official
| Name | Kathy Giannakopoulos |
|---|---|
| Title | Enrollment Manager |
| Phone | 2083953932 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | DS3371 | MA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110000004E | Medicaid | MA | — |
| 2039517 | Other | — | PK |
Copy-ready billing details
Provider: Shaws Supermarkets Inc NPI: 1629024153 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 14 W BOYLSTON ST, Worcester, MA, 01605
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1477914398 | Roger Mombourquette | Individual | Pharmacist | Worcester, MA |
| 1235591934 | Ngoc Chhay | Individual | Pharmacist | Worcester, MA |
| 1811748437 | Mia Le | Individual | Pharmacist | Worcester, MA |
| 1689512659 | Ezra Vail | Individual | Pharmacist | Worcester, MA |
Verify this record
Cross-check NPI 1629024153 against the authoritative CMS record: view Shaws Supermarkets Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Shaws Supermarkets Inc?
What is the NPI number for Shaws Supermarkets Inc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-07-08.