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SUPER FRESH FOOD MARKETS INC. NPI 1245421890


NPI Information

NPI: 1245421890
Provider Name: SUPER FRESH FOOD MARKETS, INC.

Doing Business As: SUPER FRESH PHARMACY # 982

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
7162 RIDGE AVE
PHILADELPHIA, PA
ZIP 19128
Phone: (215) 508-7782
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SUPER FRESH FOOD MARKETS, INC. is a pharmacy in Philadelphia, PA. 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. SUPER FRESH FOOD MARKETS, INC. NPI is 1245421890. The provider is registered as an organization entity type.
The provider Is Doing Business As Super Fresh Pharmacy # 982.

The provider's business location address is:

7162 RIDGE AVE
PHILADELPHIA, PA
ZIP 19128-250
Phone: (215) 508-7782
Fax: (215) 508-7785

The provider's authorized official is Susan D 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 8/8/2007 and was last updated on 11/9/2007.


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 SuppliesPP481751PENNSYLVANIANo
2333600000XPharmacyYes

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
18970982OTHERPENNSYLVANIAGROUP, DIV., STORE #
20813370033MEDICARE NSCPENNSYLVANIA
33988877OTHERPENNSYLVANIANCPDP #

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

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