THE GREAT ATLANTIC AND PACIFIC TEA COMPANY INC (NPI# 1316962962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316962962 |
| Entity Type | Organization |
| Organization Name | THE GREAT ATLANTIC AND PACIFIC TEA COMPANY INC |
| Other Organization Name | SUPER FRESH PHARMACY |
| Practice Address |
504 E Ridgeville Blvd Mount Airy MD 21771-5252 |
| Practice Telephone | 3018296402 |
| Practice Fax Number | 3018296404 |
| 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 | P02062 | MD | Suppliers |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | P02062 | MD | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2121919 | 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 |
504 E RIDGEVILLE BLVD |
| City | MOUNT AIRY |
| State | MD |
| Zip Code | 21771-5252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588217285 | Jenna Nicole Dahle | Physician Assistant | 504 E Ridgeville Blvd, Mount Airy, MD 21771-5942 | 2019-07-22 |
| 1871007898 | Advanced Pain Management Specialists, LLC | Physical Medicine & Rehabilitation | 504 E Ridgeville Blvd, Mount Airy, MD 21771-5942 | 2017-11-29 |
| 1760921688 | Randa Muhtaseb | Physical Therapist | 504 E Ridgeville Blvd, Ste 107, Mount Airy, MD 21771-5942 | 2017-02-13 |
| 1073963146 | Mnr Industries LLC | Clinic/Center | 504 E Ridgeville Blvd, Suite 102, Mount Airy, MD 21771-5942 | 2016-06-20 |
| 1922453109 | Jessica Medani | Internal Medicine | 504 E Ridgeville Blvd, Mount Airy, MD 21771 | 2016-04-26 |
| 1407212814 | Maryland Sportscare & Rehab, LLC | Physical Therapist | 504 E Ridgeville Blvd, Suite 107, Mount Airy, MD 21771-5252 | 2016-01-14 |
| 1275902389 | Frederick Health Hospital Inc | Clinical Medical Laboratory | 504 E Ridgeville Blvd, Mount Airy, MD 21771-5942 | 2015-09-18 |
| 1578957585 | Crystal Riley | Physician Assistant | 504 E Ridgeville Blvd, Suite 110, Mount Airy, MD 21771-5942 | 2015-03-27 |
| 1801231691 | Andrew Woo | Family Medicine | 504 E Ridgeville Blvd, Mount Airy, MD 21771-5942 | 2013-05-07 |
| 1407117898 | Michelle Anne Vonn | Physician Assistant | 504 E Ridgeville Blvd, Mount Airy, MD 21771-5942 | 2012-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699026567 | Laura Morlok | Counselor | 18 Park Avenue, Mount Airy, MD 21771 | 2012-10-01 |
| 1902112352 | Sun M Park | Pharmacist | 415 East Ridgeville Blvd, Rite Aid #3822, Mt Airy, MD 21771 | 2010-08-24 |
| 1255589743 | Ronald Giles Manzer | Dentist | 106 Prospect Rd., Suite 5, Mt. Airy, MD 21771 | 2008-09-09 |
| 1689834079 | Megan Marshall Putman | Physician Assistant | 504 E. Ridgeville Blvd, Suite 120, Mt. Airy, MD 21771 | 2008-06-10 |
| 1215075924 | Karen Elizabeth Polichene | Chiropractor | 3039 Gillis Falls Rd, Mt Airy, MD 21771 | 2007-02-02 |
| 1710040985 | Hali Anderson | Physical Therapist | 431 E Ridgeville Blvd, Mt Airy, MD 21771 | 2006-12-19 |
| 1831288786 | Ronald E Miller | Internal Medicine | 4 Culwell Drive, Mt Airy, MD 21771 | 2006-10-11 |
| 1679665624 | Peter James Mellon | Chiropractor | 13002 Penn Shop Road, Mt Airy, MD 21771 | 2006-09-28 |
| 1447222336 | Norman Franklin Fine | Optometrist | 1311 S. Main St. Ste 104, Mount Airy, MD 21771 | 2006-02-03 |
| 1982942850 | Terrance Larry Hartmann | Physician Assistant | 504 E. Ridgeville Blvd, Suite 110, Mount Airy, MD 21771 | 2013-01-28 |
| Find all providers in zip 21771 | ||||
| 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 |
|---|---|---|---|---|
| 1275919086 | Avni Inc | Pharmacy | 2702 Back Acre Cir Ste 190-b, Mount Airy, MD 21771-7769 | 2015-08-04 |
| 1851401558 | Kerr Drug Inc | Pharmacy | 722 W Independence Blvd, Mount Airy, NC 27030-3574 | 2006-08-30 |
| 1689287062 | Janet Leigh Johson | Pharmacy | 113 Scenic Outlet Ln Ste 1, Mount Airy, NC 27030-9978 | 2020-08-26 |
| 1124396593 | Prohealth Pharmacy Inc | Pharmacy | 280 N Pointe Blvd, Mount Airy, NC 27030-2267 | 2011-12-13 |
| 1629116298 | Med One Pharmacy Inc | Pharmacy | 1 N Main St, Mount Airy, MD 21771-5677 | 2007-02-03 |
| 1346273679 | Weis Markets Inc | Pharmacy | 1001 Twin Arch Rd, Mount Airy, MD 21771-4138 | 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 | MOUNT AIRY |
| Zip Code | 21771 |
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.