GREAT ATLANTIC & PACIFIC TEA COMPANY INC (NPI# 1518982172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518982172 |
| Entity Type | Organization |
| Organization Name | GREAT ATLANTIC & PACIFIC TEA COMPANY INC |
| Other Organization Name | A & P PHARMACY |
| Practice Address |
425 Anderson Ave Fairview NJ 07022-1103 |
| Mailing Address |
Po Box 416369 Boston MA 02241-6369 |
| Practice Telephone | 2019417170 |
| Practice Fax Number | 2019416355 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2011-10-10 |
| Authorized Official Name | SUSAN KIJOWSKI (MANAGER, REGULATORY COMPLIANCE) |
| Authorized Official Telephone | 2015718326 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 04756 | NJ | Suppliers |
| Y | 333600000X | Pharmacy | 04756 | NJ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3134133 | 01 | |
| NJ | 5491100 | 05 | |
| NJ | MEDICAID DME | 5491118 | 01 |
| Other Name | Type Code |
|---|---|
| A & P PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013077056 | Great Atlantic & Pacific Tea Company Inc | Pharmacy | 530 Rte 515, Vernon, NJ 07462 | 2006-12-11 |
| 1861552002 | Great Atlantic & Pacific Tea Company Inc | Pharmacy | 1060 Raritan Rd, Clark, NJ 07066-1313 | 2006-12-11 |
| 1598865529 | Great Atlantic & Pacific Tea Company Inc | Durable Medical Equipment & Medical Supplies | 460 County Line Road & Rte. 520 East, Marlboro, NJ 07746-1041 | 2006-09-22 |
| 1740203892 | Great Atlantic & Pacific Tea Company Inc | Pharmacy | Hwys 35 and 37, Ortley Beach, NJ 08751 | 2006-07-26 |
| 1831112986 | Great Atlantic & Pacific Tea Company Inc | Durable Medical Equipment & Medical Supplies | 100 Triangle Ctr, Saw Mill River Rd, Yorktown Heights, NY 10598-4134 | 2006-07-26 |
| 1134144793 | Great Atlantic & Pacific Tea Company Inc | Durable Medical Equipment & Medical Supplies | 152 Rte 94, Blairstown, NJ 07825 | 2006-07-13 |
| 1043235609 | Great Atlantic & Pacific Tea Company Inc | Durable Medical Equipment & Medical Supplies | 500 Rte 23, Pompton Plains, NJ 07444 | 2006-07-13 |
| 1609891266 | Great Atlantic & Pacific Tea Company Inc | Pharmacy | 125 18th St, Jersey City, NJ 07310-1242 | 2006-07-13 |
| 1689699241 | Great Atlantic & Pacific Tea Company Inc | Pharmacy | 136 Lake Ave, Midland Park, NJ 07432-1945 | 2006-07-13 |
| 1053336610 | Great Atlantic & Pacific Tea Company Inc | Durable Medical Equipment & Medical Supplies | 64 Brick Plz, Brick, NJ 08723-4045 | 2006-07-13 |
| Street Address |
425 ANDERSON AVE |
| City | FAIRVIEW |
| State | NJ |
| Zip Code | 07022-1103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154599421 | Evan Reinecke | Pharmacist | 425 Anderson Ave, Fairview, NJ 07022-1103 | 2008-02-20 |
| 1326216813 | Max Gruenberg | Pharmacist | 425 Anderson Ave, Fairview, NJ 07022-1103 | 2008-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043393085 | Advanced Physical Medicine Center, LLC | Clinic/Center | 222 Bergen Blvd, Ste 8, Fairview, NJ 07022 | 2006-10-23 |
| 1932125952 | Open Mri of Fairview | Clinic/Center | 178 Bergen Blvd, Fairview, NJ 07022 | 2006-07-14 |
| 1104902212 | Marianne Encarnacion | Physical Therapist | 222 Bergen Blvd, Ste 8, Fairview, NJ 07022 | 2006-10-31 |
| 1831275940 | David Berk | Chiropractor | 222 Bergen Blvd, Ste 8, Fairview, NJ 07022 | 2006-10-31 |
| 1548343585 | Michael Arber | Chiropractor | 222 Bergen Blvd, Ste 8, Fairview, NJ 07022 | 2006-10-23 |
| 1356819767 | Young Sun Kim | Acupuncturist | 452 N 8th St Unit B, Fairview, NJ 07022-1106 | 2018-11-05 |
| 1780077875 | Mina Garas | Pharmacist | 374 Park Ave, Fairview, NJ 07022-1114 | 2015-03-12 |
| 1760842116 | Mohammed Ateeli | Emergency Medical Technician, Basic | 383 Park Ave, 1st Floor, Fairview, NJ 07022-1116 | 2016-02-27 |
| 1306984075 | Ryan Thomas Finucane | Physical Therapist | 222 Bergen Blvd Ste 8, Fairview, NJ 07022-1300 | 2007-02-02 |
| 1386037141 | Eyedeal Vision Center | Health Maintenance Organization | 222 Bergen Blvd, Unit 1, Fairview, NJ 07022-1300 | 2015-03-17 |
| Find all providers in zip 07022 | ||||
| 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] |
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|---|---|---|---|---|
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| 1598862427 | Fair Ridge Pharmacy Inc | Pharmacy | 273 Bergen Blvd, Fairview, NJ 07022-1323 | 2006-09-20 |
| 1518999549 | Freds Stores of Tennessee Inc | Pharmacy | 2415 Fairview Blvd, Fairview, TN 37062-9078 | 2006-07-07 |
| 1295880185 | Kidd Healthmart Drug Co | Pharmacy | 104 N Main St, Fairview, OK 73737-1621 | 2007-01-24 |
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| 1982240735 | Elite Rx LLC | Pharmacy | 2282 Hamburg Tpke Ste E, Wayne, NJ 07470-6291 | 2019-11-26 |
| 1629626163 | Meadowlands Pharmacy LLC | Pharmacy | 40, Meadowlands Pkway, Secaucus, NJ 07094 | 2019-08-28 |
| Find all providers with the same taxonomy | ||||
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| 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.