Active NPIOrganization

Great Atlantic & Pacific Tea Co., INC.

Pharmacy in Park Ridge, New Jersey

NPI Number1104942259
Practice location
199 Kinderkamack RD, Park Ridge, NJ 07656-1335
Fax
201-930-9672
Last updated
October 10, 2011

Great Atlantic & Pacific Tea Co., INC. is a healthcare organization based in Park Ridge, NJ. Great Atlantic & Pacific Tea Co., INC. practices in Park Ridge, NJ. The NPI Number for Great Atlantic & Pacific Tea Co., INC. is 1104942259 and holds a License No. 06692 (NJ). The current practice location address for Great Atlantic & Pacific Tea Co., INC. is 199 Kinderkamack RD, Park Ridge, NJ 07656-1335 and can be reached out via phone at 201-391-3232 and via fax at 201-930-9672.

Provider Profile Details

NPI Number
1104942259
Provider Name
Great Atlantic & Pacific Tea Co., INC.
Provider Entity Type
Organization
Address
199 Kinderkamack RD, Park Ridge, NJ 07656-1335
Phone Number
201-391-3232
Fax Number
201-930-9672
Primary Taxonomy
Pharmacy · 333600000X
Organization Subpart
No
Authorized Official
Susan D Kijowski · Manager, Regulatory Compliance · 201-571-8326
Other Names
A&p Pharmacy # 664 (Doing Business As)
Provider Enumeration Date
March 21, 2007
Last Update Date
October 10, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
199 Kinderkamack RD
Park Ridge, NJ 07656-1335
Zip
07656-1335
Phone Number
201-391-3232
Fax Number
201-930-9672
Park Ridge, NJ 07656Get directions →

Provider Business Mailing Address Details

Address
Po Box 416369
Boston, MA 02241-6369
City
Boston
State
MA
Zip
02241-6369

License Information

License Number (1)
06692
License State (1)
NJ
License Number (2)
06692
License State (2)
NJ
Taxonomy (2)
Pharmacy · 333600000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Great Atlantic & Pacific Tea Co., INC.?

The NPI number of Great Atlantic & Pacific Tea Co., INC. is 1104942259. It was assigned on March 21, 2007 and is currently active in the NPPES registry.

What is the specialty of Great Atlantic & Pacific Tea Co., INC.?

Great Atlantic & Pacific Tea Co., INC. is registered under the primary taxonomy Pharmacy (code 333600000X), licensed in NJ under license number 06692.

Where does Great Atlantic & Pacific Tea Co., INC. practice?

The practice location is 199 Kinderkamack RD, Park Ridge, NJ 07656-1335. The office can be reached at 201-391-3232 (phone) or 201-930-9672 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104942259 directly on the NPPES registry website.

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