- Practice location
- 2401 Cleanleigh Dr, Baltimore, MD 21234-6808
- Phone
- 410-663-9602
- Fax
- 410-663-9608
- Last updated
- September 11, 2025
The Great Atlantic And Pacific Tea Company INC is a healthcare organization based in Baltimore, MD. The Great Atlantic And Pacific Tea Company INC practices in Baltimore, MD. The NPI Number for The Great Atlantic And Pacific Tea Company INC is 1407871056 and holds a License No. P01966 (MD). The current practice location address for The Great Atlantic And Pacific Tea Company INC is 2401 Cleanleigh Dr, Baltimore, MD 21234-6808 and can be reached out via phone at 410-663-9602 and via fax at 410-663-9608.
Provider Profile Details
- NPI Number
- 1407871056
- Provider Name
- The Great Atlantic And Pacific Tea Company INC
- Provider Entity Type
- Organization
- Address
- 2401 Cleanleigh Dr, Baltimore, MD 21234-6808
- Phone Number
- 410-663-9602
- Fax Number
- 410-663-9608
- Primary Taxonomy
- Pharmacy, Community/Retail Pharmacy · 3336C0003X
- Organization Subpart
- No
- Authorized Official
- Susan Kijowski · Pharmacy Specialist · 201-571-8326
- Other Names
- Super Fresh Pharmacy (Doing Business As)
- Provider Enumeration Date
- July 13, 2006
- Last Update Date
- September 11, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2401 Cleanleigh Dr
Baltimore, MD 21234-6808 - City
- Baltimore
- State
- Maryland
- Zip
- 21234-6808
- Phone Number
- 410-663-9602
- Fax Number
- 410-663-9608
Provider Business Mailing Address Details
- Address
- Po Box 23069
Newark, NJ 07189-0001 - City
- Newark
- State
- NJ
- Zip
- 07189-0001
License Information
- License Number (1)
- P01966
- License State (1)
- MD
- Taxonomy (1)
- Pharmacy · 333600000X
- Taxonomy (2)
- Pharmacy, Community/Retail Pharmacy · 3336C0003X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 The Great Atlantic And Pacific Tea Company INC?
The NPI number of The Great Atlantic And Pacific Tea Company INC is 1407871056. It was assigned on July 13, 2006 and is currently active in the NPPES registry.
What is the specialty of The Great Atlantic And Pacific Tea Company INC?
The Great Atlantic And Pacific Tea Company INC is registered under the primary taxonomy Pharmacy, Community/Retail Pharmacy (code 3336C0003X), licensed in MD under license number P01966.
Where does The Great Atlantic And Pacific Tea Company INC practice?
The practice location is 2401 Cleanleigh Dr, Baltimore, MD 21234-6808. The office can be reached at 410-663-9602 (phone) or 410-663-9608 (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 1407871056 directly on the NPPES registry website.