THE GREAT ATLANTIC AND PACIFIC TEA COMPANY INC (NPI# 1114942760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114942760 |
| Entity Type | Organization |
| Organization Name | THE GREAT ATLANTIC AND PACIFIC TEA COMPANY INC |
| Other Organization Name | SUPER FRESH PHARMACY |
| Practice Address |
8905 Bel Air Rd Perry Hall MD 21236 |
| Practice Telephone | 4106570026 |
| Practice Fax Number | 4102564231 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2007-11-22 |
| Authorized Official Name | SUSAN KIJOWSKI (PHARMACY SPECIALIST) |
| 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 | P02689 | MD | Suppliers |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | P02689 | MD | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2126286 | 01 |
| Other Name | Type Code |
|---|---|
| SUPER FRESH PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831259894 | The Great Atlantic and Pacific Tea Company Inc | Durable Medical Equipment & Medical Supplies | 13 North Ave, Pleasant Valley, NY 12569 | 2006-12-11 |
| 1316964935 | The Great Atlantic and Pacific Tea Company Inc | Pharmacy | 4350 Highway 22, Mandeville, LA 70471-3348 | 2006-07-17 |
| 1982629549 | The Great Atlantic and Pacific Tea Company Inc | Pharmacy | 1345 Pass Rd, Gulfport, MS 39507 | 2006-07-13 |
| 1124043773 | The Great Atlantic and Pacific Tea Company Inc | Durable Medical Equipment & Medical Supplies | 3301 N Ridge Rd, Ellicott City, MD 21043-7522 | 2006-07-13 |
| 1326063975 | The Great Atlantic and Pacific Tea Company Inc | Pharmacy | 3711 Power Blvd, Metairie, LA 70003-3446 | 2006-07-13 |
| 1871518423 | The Great Atlantic and Pacific Tea Company Inc | Pharmacy | 110 Gause Blvd W, Slidell, LA 70460-2625 | 2006-07-13 |
| 1811912371 | The Great Atlantic and Pacific Tea Company Inc | Durable Medical Equipment & Medical Supplies | 195 N Bedford Rd, Mount Kisco, NY 10549-1140 | 2006-07-13 |
| 1881619435 | The Great Atlantic and Pacific Tea Company Inc | Pharmacy | 3450 Highway 190, Mandeville, LA 70471-3196 | 2006-07-13 |
| 1780609339 | The Great Atlantic and Pacific Tea Company Inc | Pharmacy | 50 Park Place Dr, Covington, LA 70433-5183 | 2006-07-13 |
| 1760407316 | The Great Atlantic and Pacific Tea Company Inc | Durable Medical Equipment & Medical Supplies | 7740 Ritchie Hwy, Glen Burnie, MD 21061-4378 | 2006-07-13 |
| Street Address |
8905 BEL AIR RD |
| City | PERRY HALL |
| State | MD |
| Zip Code | 21236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699381467 | Monique Gaston | Counselor | Well Life Counseling and Consulting, 9649 Belair Road, Ste. 104, Nottingham, MD 21236 | 2020-09-17 |
| 1215575519 | Bh Brightview Perry Hall Opco, LLC | Alzheimer Center (Dementia Center) | 9657 Belair Road, Nottingham, MD 21236 | 2019-12-17 |
| 1750929493 | Bh Brightview White Marsh Opco, LLC | Alzheimer Center (Dementia Center) | 8100 Rossville Blvd., Baltimore, MD 21236 | 2019-12-12 |
| 1083257646 | Matthew Peter Halstad | Behavioral Analyst | 8090 Sandpiper Circle, Nottingham, MD 21236 | 2019-10-25 |
| 1609331602 | Tunisia Buise | Social Worker | 4132 E. Joppa Road Ste. 110-#1248, Baltimore, MD 21236 | 2019-02-04 |
| 1730673047 | Golden Jemz Adult Medical Day | Clinic/Center | 5020 Cambell Blvd, Nottingham, MD 21236 | 2018-06-20 |
| 1487143400 | For Eyes Optical of Pa | Eyewear Supplier (Equipment, not the service) | 7984 Honeygo Blvd, Nottingham, MD 21236 | 2018-05-04 |
| 1619478922 | Weis Markets, Inc. | Pharmacy | 7927 Belair Rd Ste S, Nottingham, MD 21236 | 2018-02-22 |
| 1285133918 | Joan Rosa Keller | Behavior Technician | 3501 Taylor Ave., Baltimore, MD 21236 | 2018-02-08 |
| 1205341146 | Ebony Watkins | Nurse Practitioner | 8940 Kilkenny Circle, Nottingham, MD 21236 | 2017-12-13 |
| Find all providers in zip 21236 | ||||
| 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 |
|---|---|---|---|---|
| 1154354488 | Weis Markets Inc | Pharmacy | 9400 Scott Moore Way, Perry Hall, MD 21128-8932 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537527 | Obra Pharmacy, LLC | Pharmacy | 15525 New Hampshire Ave, Silver Spring, MD 20905-4077 | 2020-10-27 |
| 1598364275 | Lex Pharmacy LLC | Pharmacy | 26 Solomons Island Rd S, Prince Frederick, MD 20678-5312 | 2020-10-22 |
| 1023615325 | Rx Rhamp LLC | Pharmacy | 11747 Owens Glen Way, North Potomac, MD 20878-2361 | 2020-10-08 |
| 1265049647 | West North Pharmacy, Inc | Pharmacy | 3044 W North Ave Ste A&b, Baltimore, MD 21216-3180 | 2020-09-29 |
| 1316567977 | Jant Pharmacy | Pharmacy | 8771 Piney Orchard Pkwy, Odenton, MD 21113-2245 | 2020-04-23 |
| 1770103707 | Molly Wascher | Pharmacy | 5901 Holabird Ave Ste A2, Baltimore, MD 21224-6015 | 2020-04-20 |
| 1275167827 | Elevation Rx LLC | Pharmacy | 7651 Matapeake Business Dr Ste 114, Brandywine, MD 20613-3038 | 2020-02-22 |
| 1871123000 | Geipe Pharmacy | Pharmacy | 516 N Rolling Rd Ste 101, Catonsville, MD 21228-4141 | 2020-01-15 |
| 1306488853 | Urbana Pharmacy | Pharmacy | 3420 Worthington Blvd Ste B, Frederick, MD 21704-7020 | 2019-10-16 |
| 1609417989 | The Johns Hopkins Hospital | Pharmacy | 5300 Holabird Ave Ste A-1, Baltimore, MD 21224-6010 | 2019-10-08 |
| Find all providers with the same taxonomy | ||||
| City | PERRY HALL |
| Zip Code | 21236 |
Please comment or provide details below to improve the information on THE GREAT ATLANTIC AND PACIFIC TEA COMPANY 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.