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SUPER FRESH FOOD MARKETS INC NPI 1245255801


NPI Information

NPI: 1245255801
Provider Name: SUPER FRESH FOOD MARKETS INC

Doing Business As: SUPER FRESH PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
709 S BROADWAY
PENNSVILLE, NJ
ZIP 08070
Phone: (856) 935-7732
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SUPER FRESH FOOD MARKETS INC is a pharmacy in Pennsville, 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. SUPER FRESH FOOD MARKETS INC NPI is 1245255801. The provider is registered as an organization entity type.
The provider Is Doing Business As Super Fresh Pharmacy.

The provider's business location address is:

709 S BROADWAY
PENNSVILLE, NJ
ZIP 08070-655
Phone: (856) 935-7732
Fax: (856) 935-4752

The provider's authorized official is Susan Kijowski .
The authorized official title is Pharmacy Specialist 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 11/18/2007.


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 PharmacyNo
2332B00000XDurable Medical Equipment & Medical Supplies04869NEW JERSEYNo
3333600000XPharmacy04869NEW 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
16118810OTHERNEW JERSEYMEDICAID DME
23135109OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
36118801MEDICAIDNEW JERSEY
40813370002MEDICARE NSCNEW 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

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