SUPER FRESH FOOD MARKETS INC. NPI 1295950350

NPI Information

  • NPI: 1295950350
  • Provider Name: SUPER FRESH FOOD MARKETS, INC.
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Doing Business As: SUPER FRESH PHARMACY # 804
  • Address: 616 E MAIN ST
    LANSDALE, PA
    ZIP 19446
  • Phone: (215) 855-5606

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NPI Details

SUPER FRESH FOOD MARKETS, INC. is a pharmacy in Lansdale, 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 1295950350. The provider is registered as an organization entity type.
The provider Is Doing Business As Super Fresh Pharmacy # 804.

The provider's business location address is:

616 E MAIN ST
LANSDALE, PA
ZIP 19446-964
Phone: (215) 855-5606
Fax: (215) 855-6097

The provider's authorized official is Carol J. Dinicolantonio .
The authorized official title is Sr. Director, Pharmacy and has the following contact phone number (201) 571-8334.

The enumeration date for this NPI number is 4/16/2007 and was last updated on 11/14/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyPP481110PENNSYLVANIANo
2332B00000XDurable Medical Equipment & Medical SuppliesPP481110PENNSYLVANIANo
3333600000XPharmacyPP481110PENNSYLVANIAYes

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
1PP481110OTHERPENNSYLVANIASTATE LICENSE
21007725100056MEDICAIDPENNSYLVANIA
30813370032MEDICARE NSCPENNSYLVANIA
43987572OTHERPENNSYLVANIANCPDP #

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: 3/30/2025

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