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THE GREAT ATLANTIC & PACIFIC TEA CO. INC. NPI 1477751675


NPI Information

NPI: 1477751675
Provider Name: THE GREAT ATLANTIC & PACIFIC TEA CO., INC.

Doing Business As: LIVE BETTER PHARMACY # 441

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
216 OLD TAPPAN ROAD
OLD TAPPAN, NJ
ZIP 07675
Phone: (201) 391-0639
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THE GREAT ATLANTIC & PACIFIC TEA CO., INC. is a pharmacy in Old Tappan, 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. THE GREAT ATLANTIC & PACIFIC TEA CO., INC. NPI is 1477751675. The provider is registered as an organization entity type.
The provider Is Doing Business As Live Better Pharmacy # 441.

The provider's business location address is:

216 OLD TAPPAN ROAD
OLD TAPPAN, NJ
ZIP 07675
Phone: (201) 391-0639
Fax: (201) 391-1845

The provider's authorized official is Susan D 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 7/10/2007 and was last updated on 3/23/2009.


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
13336M0002XPharmacyMail Order PharmacyRS00671100NEW JERSEYNo
2332B00000XDurable Medical Equipment & Medical Supplies06711NEW JERSEYNo
3333600000XPharmacy06711NEW 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
10721470121MEDICARE NSCNEW JERSEY
23194470OTHERNEW JERSEYNCPDP #
3D09109200OTHERNEW JERSEYNJ STATE CDS LICENSE
4RS00671100OTHERNEW JERSEYNJ STATE PHARMACY LICENSE

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.