Provider Type Icon

THE GREAT ATLANTIC AND PACIFIC TEA COMPANY INC NPI 1851316400


NPI Information

NPI: 1851316400
Provider Name: THE GREAT ATLANTIC AND PACIFIC TEA COMPANY INC

Doing Business As: SUPER FRESH PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
1238 PUTTY HILL AVE
TOWSON, MD
ZIP 21286
Phone: (410) 583-1626
Get Directions

THE GREAT ATLANTIC AND PACIFIC TEA COMPANY INC is a pharmacy in Towson, MD. 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. THE GREAT ATLANTIC AND PACIFIC TEA COMPANY INC NPI is 1851316400. The provider is registered as an organization entity type.
The provider Is Doing Business As Super Fresh Pharmacy.

The provider's business location address is:

1238 PUTTY HILL AVE
TOWSON, MD
ZIP 21286-844
Phone: (410) 583-1626
Fax: (410) 583-1694

The provider's authorized official is Susan Kijowski .
The authorized official title is Pharmacy Specialist and has the following contact phone number (201) 571-8326.

The enumeration date for this NPI number is 7/13/2006 and was last updated on 11/22/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesP02405MARYLANDNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
3333600000XPharmacyP02405MARYLANDYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12123583OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
20721470076MEDICARE NSCMARYLAND

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.