GREAT ATLANTIC & PACIFIC TEA CO., INC. (NPI# 1104942259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104942259 |
Entity Type | Organization |
Organization Name | GREAT ATLANTIC & PACIFIC TEA CO., INC. |
Other Organization Name | A&P PHARMACY # 664 |
Practice Address |
199 Kinderkamack Rd Park Ridge NJ 07656-1335 |
Mailing Address |
Po Box 416369 Boston MA 02241-6369 |
Practice Telephone | 2013913232 |
Practice Fax Number | 2019309672 |
Enumeration Date | 2007-03-21 |
Last Update Date | 2011-10-10 |
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 | 06692 | NJ | Suppliers |
Y | 333600000X | Pharmacy | 06692 | NJ | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | MEDICAID DME | 8186812 | 01 |
NJ | NCPDP # | 3194204 | 01 |
NJ | 8186804 | 05 |
Other Name | Type Code |
---|---|
A&P Pharmacy # 664 | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356566749 | Great Atlantic & Pacific Tea Co., Inc. | Durable Medical Equipment & Medical Supplies | 19 Ave At Port Imperial, West New York, NJ 07093 | 2007-04-13 |
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 |
Massachusetts Corporations | GREAT ATLANTIC & PACIFIC TEA COMPANY, INC., THE | 2 Paragon Dr., Montvale, NJ 07645 |
Street Address |
199 KINDERKAMACK RD |
City | PARK RIDGE |
State | NJ |
Zip Code | 07656-1335 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790894491 | Arthur Scot Barthold | Pharmacist | 199 Kinderkamack Rd, Park Ridge, NJ 07656-1335 | 2006-08-29 |
1780194134 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 199 Kinderkamack Rd, Park Ridge, NJ 07656-1335 | 2017-10-11 |
1649647488 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 199 Kinderkamack Rd, Park Ridge, NJ 07656 | 2015-08-27 |
1992973523 | Laurie Sue Pileggi | Pharmacist | 199 Kinderkamack Rd, Park Ridge, NJ 07656-1335 | 2008-02-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972168326 | Cynthia J. Blake | Social Worker | Pascack Mental Health, 114 Kinderkamack Road, Park Ridge, NJ 07656 | 2019-05-01 |
1396251500 | Tocia Floris | Licensed Practical Nurse | 2 Lorraine Drive, Park Ridge, NJ 07656 | 2017-12-26 |
1528505625 | Sonal Desai | Registered Nurse | 2 Williams Crest, Park Ridge, NJ 07656 | 2017-01-26 |
1871960484 | Dr. Mark Schwartz, P.a. | Clinic/Center | 308 Chelsea Manor, Park Ridge, NJ 07656 | 2015-08-31 |
1871767194 | Arnold M. Sobel | Anesthesiology | 210 Bearwoods Road, Park Ridge, NJ 07656 | 2008-04-17 |
1548472145 | Deborah Renee Brodt Donnelly | Social Worker | 284 Spring Valley Rd, Park Ridge, NJ 07656 | 2007-05-04 |
1720204720 | Alan Zampieri | Pharmacist | 713 Butternut Dr, Franklin Lakes, NJ 07656 | 2007-04-18 |
1689790198 | Anthony M Riotto | Chiropractor | 128 Kinderkamack Road, Park Ridge, NJ 07656 | 2007-03-22 |
1063584605 | Christine M Ramagnano | Social Worker | 116 Warren Road, Park Ridge, NJ 07656 | 2006-11-15 |
1043637184 | Elana T Clark | Pediatrics | 74 Pascack Rd, Park Ridge, NJ 07656 | 2014-03-26 |
Find all providers in zip 07656 |
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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City | PARK RIDGE |
Zip Code | 07656 |
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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.