GREAT ATLANTIC & PACIFIC TEA CO., INC. (NPI# 1356566749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356566749 |
| Entity Type | Organization |
| Organization Name | GREAT ATLANTIC & PACIFIC TEA CO., INC. |
| Other Organization Name | A & P PHARMACY # 761 |
| Practice Address |
19 Ave At Port Imperial West New York NJ 07093 |
| Mailing Address |
Po Box 416369 Boston MA 02241-6369 |
| Practice Telephone | 2012721171 |
| Practice Fax Number | 2018671976 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2011-10-11 |
| Authorized Official Name | SUSAN D KIJOWSKI (MANAGER, REGULATORY COMPLIANCE) |
| Authorized Official Telephone | 2015718326 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 06687 | NJ | Suppliers |
| Y | 333600000X | Pharmacy | 06687 | NJ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0138382 | 05 | |
| NJ | STATE LICENSE | 06687 | 01 |
| NJ | NCPDP # | 3194278 | 01 |
| Other Name | Type Code |
|---|---|
| A & P Pharmacy # 761 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104942259 | Great Atlantic & Pacific Tea Co., Inc. | Durable Medical Equipment & Medical Supplies | 199 Kinderkamack Rd, Park Ridge, NJ 07656-1335 | 2007-03-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | GREAT ATLANTIC & PACIFIC TEA COMPANY, INC. THE | 2 Paragon Drive, Montvale, NJ 07645 |
| Connecticut Business Registrations | GREAT ATLANTIC & PACIFIC TEA COMPANY, INC. THE | Tax Dept., 2 Paragon Dr, Montvale, NJ 07645 |
| Street Address |
19 AVE AT PORT IMPERIAL |
| City | WEST NEW YORK |
| State | NJ |
| Zip Code | 07093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598132342 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 19 Ave At Port Imperial, West New York, NJ 07093 | 2015-08-27 |
| 1437493095 | Jieun Lee | Pharmacist | 19 Ave At Port Imperial, West New York, NJ 07093-8413 | 2012-11-20 |
| 1467621300 | Katie D Kim | Pharmacist | 19 Ave At Port Imperial, West New York, NJ 07093 | 2008-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235745225 | Denmari Berberabe | Physical Therapist | 6000 John F. Kennedy Boulevard, West New York, NJ 07093 | 2020-09-16 |
| 1801409321 | William T Chen | Pharmacist | 6012 Kennedy Boulevard, West New York, NJ 07093 | 2020-08-25 |
| 1598374050 | Benita Strickland | Physical Therapy Assistant | 6000 John F. Kennedy Blvd, West New York, NJ 07093 | 2020-07-30 |
| 1053964809 | Santvana Vyas | Dentist | 6020 Broadway, Fl#2, West New York, NJ 07093 | 2019-07-22 |
| 1043875552 | Natalya V Fryazin | Counselor | 444 60th St., 2nd Flr, West New York, NJ 07093 | 2019-05-09 |
| 1558844209 | Merrideth Kennedy | Occupational Therapist | 6612-18 Bergenline Ave, West New York, NJ 07093 | 2018-09-10 |
| 1578072385 | Allied Healthcare Diagnostics | Radiology | 560 60th Street, Suite A, West New York, NJ 07093 | 2017-09-25 |
| 1265889695 | Bilingual Counseling Services, LLC | Community/Behavioral Health | 574 67th Street, Apt 2, West New York, NJ 07093 | 2016-05-16 |
| 1083079297 | Dino Pascual | Registered Nurse | 25 Port Imperial Avenue, Apt. 111, West New York, NJ 07093 | 2015-12-15 |
| 1992179469 | Diane A Doucet | Behavioral Analyst | 140 65th St, Apt 1, West New York, NJ 07093 | 2015-11-21 |
| Find all providers in zip 07093 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275939746 | Lifeline Rx LLC | Pharmacy | 5408 Park Ave, West New York, NJ 07093-3517 | 2014-11-11 |
| 1245510270 | United Pharmacy Wny LLC | Pharmacy | 6014b Bergenline Ave, West New York, NJ 07093-1421 | 2011-08-22 |
| 1720171150 | Reemberto J Maquieira | Pharmacy | 335 60th St, West New York, NJ 07093-5412 | 2006-09-30 |
| 1942392121 | D.c.r.c. Corp | Pharmacy | 6419 Park Ave, West New York, NJ 07093-4109 | 2006-09-28 |
| 1578542858 | Shri Ganeshji Pharmacy, Inc. | Pharmacy | 5005 Bergline Ave, West New York, NJ 07093-5563 | 2006-01-13 |
| 1831178581 | Health Center Pharmacy, Inc. | Pharmacy | 6200 Bergenline Ave, West New York, NJ 07093-1619 | 2006-01-11 |
| 1639173651 | Marin Pharmacy Inc | Pharmacy | 5222 Bergenline Ave, West New York, NJ 07093-5524 | 2005-06-08 |
| 1629528914 | Cardinal Health 132 LLC | Pharmacy | 5301 Broadway, West New York, NJ 07093-2622 | 2016-10-11 |
| 1821458886 | Iron Bound Pharmacy Inc | Pharmacy | 5313 Hudson Ave, West New York, NJ 07093-2615 | 2016-03-02 |
| 1558598904 | Health Center Pharmacy Inc | Pharmacy | 6200 Bergenline Ave, West New York, NJ 07093-1619 | 2009-06-12 |
| Find all providers in WEST NEW YORK | ||||
| City | WEST NEW YORK |
| Zip Code | 07093 |
Please comment or provide details below to improve the information on GREAT ATLANTIC & PACIFIC TEA CO., INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.