THE GREAT ATLANTIC AND PACIFIC TEA COMPANY INC (NPI# 1124043773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124043773 |
| Entity Type | Organization |
| Organization Name | THE GREAT ATLANTIC AND PACIFIC TEA COMPANY INC |
| Other Organization Name | SUPER FRESH PHARMACY |
| Practice Address |
3301 N Ridge Rd Ellicott City MD 21043-7522 |
| Practice Telephone | 4104803817 |
| Practice Fax Number | 4104803835 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2007-11-23 |
| 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 | P02294 | MD | Suppliers |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | P02294 | MD | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2122884 | 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 |
| 1326063975 | The Great Atlantic and Pacific Tea Company Inc | Pharmacy | 3711 Power Blvd, Metairie, LA 70003-3446 | 2006-07-13 |
| 1114942760 | The Great Atlantic and Pacific Tea Company Inc | Durable Medical Equipment & Medical Supplies | 8905 Bel Air Rd, Perry Hall, MD 21236 | 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 |
3301 N RIDGE RD |
| City | ELLICOTT CITY |
| State | MD |
| Zip Code | 21043-7522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477937506 | Hana Pharmacy Ellicott City | Pharmacy | 3301 N Ridge Rd, Ellicott City, MD 21043-7500 | 2015-07-18 |
| 1487924858 | Ruth Chi | Pharmacist | 3301 N Ridge Rd, #4, Ellicott City, MD 21043-7500 | 2012-01-03 |
| 1477847762 | Shoppers Food Warehouse Corp | Durable Medical Equipment & Medical Supplies | 3301 N Ridge Rd, Ste 4, Ellicott City, MD 21043 | 2011-06-03 |
| 1043488372 | Ashley S Webb | Pharmacist | 3301 N Ridge Rd, Ellicott City, MD 21043-7500 | 2008-02-20 |
| 1689842015 | Ja Kyung Jung | Pharmacist | 3301 N Ridge Rd, Ellicott City, MD 21043-7500 | 2008-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982242764 | Joyce Melinda Kelly | Social Worker | 8181 Main Street, 2nd Floor, Ellicott City, MD 21043 | 2019-12-12 |
| 1437703972 | Capitol Health Care, LLC | Speech-Language Pathologist | 4115 Sears House Court, Ellicott City, MD 21043 | 2019-08-01 |
| 1851857429 | Carol Ann Mckissick | Counselor | 2850 N. Ridge Rd. Suite 208a, Santoro Psychological Services, Ellicott City, MD 21043 | 2019-02-19 |
| 1659877017 | Tender Touch Healthcare Services LLC | In Home Supportive Care | 8960 Town and Country Blvd, Apt F, Ellicott, MD 21043 | 2018-04-04 |
| 1912426099 | Hf & Associates, LLC | Community/Behavioral Health | 3565 C2 Ellicott Mills Drive, Suite 202, Ellicott City, MD 21043 | 2017-09-11 |
| 1134666779 | Stephanie Jean | Behavioral Analyst | 8762 Town and Country Blvd, Ellicott City, MD 21043 | 2017-01-20 |
| 1124574744 | I Can't We Can Counseling Center | Preferred Provider Organization | 7060 O(akland Mills Rd, Columbia, MD 21043 | 2016-09-01 |
| 1598139925 | Jun Woo Lee | Chiropractor | 8492 Baltimore National Pike Suite 105, Ellicott City, MD 21043 | 2015-11-23 |
| 1518338953 | Byron Lam | Chiropractor | 2850 N Ridge Rd Ste 107a, Ellicott City, MD 21043 | 2015-10-12 |
| 1942682174 | Jea Sub Song | Chiropractor | 3460 Ellicott Center Dr Ste 102, Ellicott City, MD 21043 | 2015-06-24 |
| Find all providers in zip 21043 | ||||
| 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 |
|---|---|---|---|---|
| 1730553132 | Crossroads Health Services | Pharmacy | 4801 Dorsey Hall Dr Ste 120, Ellicott City, MD 21042-7703 | 2015-11-23 |
| 1972538924 | Giant of Maryland LLC | Pharmacy | 4715 Dorsey Hall Dr, Ellicott City, MD 21042-5975 | 2006-07-11 |
| 1114969730 | Watermont Pharmacy | Pharmacy | 4900 Waterloo Rd # A, Ellicott City, MD 21043-6664 | 2006-06-11 |
| 1720582893 | Maryland Specialty and Compounding Pharmacy LLC | Pharmacy | 3138 Rogers Ave, Ellicott City, MD 21043-3320 | 2018-03-22 |
| 1891770632 | Feldman's Medical Center Pharmacy, Inc. | Pharmacy | 9501 Old Annapolis Rd, Ellicott City, MD 21042-6314 | 2005-12-14 |
| 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 | ELLICOTT CITY |
| Zip Code | 21043 |
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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.