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GREAT ATLANTIC & PACIFIC TEA CO. INC. NPI 1104942259


NPI Information

NPI: 1104942259
Provider Name: GREAT ATLANTIC & PACIFIC TEA CO., INC.

Doing Business As: A&P PHARMACY # 664

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
199 KINDERKAMACK RD
PARK RIDGE, NJ
ZIP 07656
Phone: (201) 391-3232
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GREAT ATLANTIC & PACIFIC TEA CO., INC. is a pharmacy in Park Ridge, NJ. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. GREAT ATLANTIC & PACIFIC TEA CO., INC. NPI is 1104942259. The provider is registered as an organization entity type.
The provider Is Doing Business As A&p Pharmacy # 664.

The provider's business location address is:

199 KINDERKAMACK RD
PARK RIDGE, NJ
ZIP 07656-335
Phone: (201) 391-3232
Fax: (201) 930-9672

The provider's authorized official is Susan D Kijowski .
The authorized official title is Manager, Regulatory Compliance and has the following contact phone number (201) 571-8326.

The enumeration date for this NPI number is 3/21/2007 and was last updated on 10/10/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical Supplies06692NEW JERSEYNo
2333600000XPharmacy06692NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18186804MEDICAIDNEW JERSEY
20721470120MEDICARE NSCNEW JERSEY
33194204OTHERNEW JERSEYNCPDP #
48186812OTHERNEW JERSEYMEDICAID DME

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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