THE GREAT ATLANTIC AND PACIFIC TEA COMPANY INC (NPI# 1215952866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215952866 |
| Entity Type | Organization |
| Organization Name | THE GREAT ATLANTIC AND PACIFIC TEA COMPANY INC |
| Other Organization Name | SUPER FRESH PHARMACY |
| Practice Address |
125 W College Ave Salisbury MD 21804-6961 |
| Practice Telephone | 4108605813 |
| Practice Fax Number | 4108605951 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | P02284 | MD | Suppliers |
| Y | 333600000X | Pharmacy | P02284 | MD | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2122670 | 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 |
| 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 |
| Street Address |
125 W COLLEGE AVE |
| City | SALISBURY |
| State | MD |
| Zip Code | 21804-6961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396923561 | Joseph Elisha Parker Jr. | Pharmacist | 125 W College Ave, Salisbury, MD 21804-6961 | 2008-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578125969 | Lifes Energy Wellness Center Inc. | Community/Behavioral Health | 2324 West Zion Road Suite, Suite 112, Salisbury, MD 21804 | 2019-07-05 |
| 1578125340 | Lifes Energy Wellness Center Inc. | Counselor | 2324 West Zion Road Suite 112, Suite 112, Salisbury, MD 21804 | 2019-07-02 |
| 1093377855 | Lifes Energy Wellness Center Inc. | Clinic/Center | 2324 West Zion Road Suite #112, Salisbury, MD 21804 | 2019-07-02 |
| 1356904874 | Carly Showell Finkbeiner | Behavioral Analyst | 30507 Foxchase Dr, Salisbury, MD 21804 | 2019-04-19 |
| 1750844940 | Clifton Waters | Driver | 206 Davis St, Salisbury, MD 21804 | 2019-04-13 |
| 1487125415 | Rebecca J. Raygor | Social Worker | Wicomico High School, 201 Long Ave., Salisbury, MD 21804 | 2018-12-17 |
| 1639662745 | Peninsula Physical Therapy, LLC | Physical Therapist | 720 E College Ave Ste 11, Salisbury, MD 21804 | 2018-06-13 |
| 1376079533 | Kerry Choplin | Behavior Technician | 8032 Snow Hill Rd., Salisbury, MD 21804 | 2017-05-10 |
| 1558892992 | Three Lower Counties Community Services, Inc. | Clinic/Center | 1647 Woodbrooke Drive, Salisbury, MD 21804 | 2017-03-27 |
| 1508304759 | Driven Physiotherapy, LLC | Clinic/Center | 1029 Zircon Ct., Salisbury, MD 21804 | 2017-02-08 |
| Find all providers in zip 21804 | ||||
| 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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|---|---|---|---|---|
| 1912494709 | Hils Pharmacy Salisbury LLC | Pharmacy | 501 E. 24 Hwy Ste. A, Salisbury, MO 65281 | 2018-04-17 |
| 1962894998 | One Stop Healthservices LLC | Pharmacy | 811 Priscilla St, Salisbury, MD 21804-3843 | 2015-02-27 |
| 1346670304 | Sequon, Inc. | Pharmacy | 505 E. Main Street, Salisbury, MD 21804 | 2013-11-12 |
| 1871833095 | Price Wellness Enterprises | Pharmacy | 524 Jake Alexander Blvd W, Salisbury, NC 28147-1366 | 2013-02-25 |
| 1093004533 | Pemberton Apothecary, LLC | Pharmacy | 1306 S Salisbury Blvd, Units 9&10, Salisbury, MD 21801-6841 | 2011-04-05 |
| 1487808077 | Sai Swami Inc | Pharmacy | 910 West Rd, Salisbury, MD 21801-3030 | 2008-11-09 |
| 1548332331 | Rowan Drug Inc | Pharmacy | 1357 W Innes St, Salisbury, NC 28144-3101 | 2006-11-15 |
| 1437256369 | Eastern Shore Pharmacy Inc | Pharmacy | 400 Eastern Shore Dr Ste 103, Salisbury, MD 21804-5513 | 2006-09-20 |
| 1982709309 | Medexpress Pharmacy, Ltd. | Pharmacy | 1431 W. Innes Street, Salisbury, NC 28145 | 2006-09-13 |
| 1992816045 | Pemberton Pharmacy Inc | Pharmacy | 1147 Pemberton Drive, Salisbury, MD 21801 | 2006-08-31 |
| Find all providers in SALISBURY | ||||
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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.