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GREAT ATLANTIC & PACIFIC TEA COMPANY INC NPI 1861417420


NPI Information

NPI: 1861417420
Provider Name: GREAT ATLANTIC & PACIFIC TEA COMPANY INC

Doing Business As: A & P PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
2160 LEMOINE AVE
FORT LEE, NJ
ZIP 07024
Phone: (201) 346-0002
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GREAT ATLANTIC & PACIFIC TEA COMPANY INC is a pharmacy in Fort Lee, 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 COMPANY INC NPI is 1861417420. The provider is registered as an organization entity type.
The provider Is Doing Business As A & P Pharmacy.

The provider's business location address is:

2160 LEMOINE AVE
FORT LEE, NJ
ZIP 07024-002
Phone: (201) 346-0002
Fax: (201) 346-1217

The provider's authorized official is Susan 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 7/13/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies05450NEW JERSEYNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
3333600000XPharmacy05450NEW 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10721470042MEDICARE NSCNEW JERSEY
23138941OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
37253508OTHERNEW JERSEYMEDICAID DME
47253508MEDICAIDNEW JERSEY

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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