Provider Type Icon

GREAT ATLANTIC & PACIFIC TEA COMPANY INC NPI 1215952874


NPI Information

NPI: 1215952874
Provider Name: GREAT ATLANTIC & PACIFIC TEA COMPANY INC

Doing Business As: A & P PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
510 VALLEY RD
MONTCLAIR, NJ
ZIP 07043
Phone: (973) 746-7471
Get Directions

GREAT ATLANTIC & PACIFIC TEA COMPANY INC is a pharmacy in Montclair, 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 1215952874. 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:

510 VALLEY RD
MONTCLAIR, NJ
ZIP 07043-804
Phone: (973) 746-7471
Fax: (973) 746-8088

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 10/11/2011.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical Supplies05608NEW JERSEYNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
3333600000XPharmacy05608NEW 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10721470037MEDICARE NSCNEW JERSEY
27625413OTHERNEW JERSEYMEDICAID DME
33139955OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
47625405MEDICAIDNEW 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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.