Active NPI
A&P Live Better LLC
- Pharmacy
- Brewster, NY
National Provider Identifier
1023033586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 031358
- Legal business name
- A&P LIVE BETTER LLC
- Practice address
- 1515 Route 22
Brewster, NY 10509-4042 - Phone
- (845) 278-5284
- Fax
- (845) 278-5287
- NPI assigned
- Jul 13, 2006
- Organization subpart
- Yes
- Parent organization
- THE GREAT ATLANTIC & PACIFIC TEA CO INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan Kijowski
- Title
- Manager, Regulatory Compliance
- Phone
- (201) 571-8326
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 031358 | NY | Primary |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
1515 Route 22
Brewster, NY 10509-4042
Mailing address
PO Box 416369
Boston, MA 02241-6369
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3301784 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 019218880442 | Other | NY | MEDICAID DME |
| 01921888 | Medicaid | NY |
Other names 1
- A & P PHARMACY
National Provider Directory
National Provider Directory- Part of
- Great Atlantic Pacific Tea Company Inc
Locations
4365 Kirkwood Hwy
Wilmington, DE 19808
Phone (302) 636-1144
3399 Aramingo Ave
Philadelphia, PA 19134
Phone (215) 425-2083
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Brewster, NY
- NPI 1710155791
-
- Pharmacist
- Brewster, NY
- NPI 1811165673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1368144000000",
"number": "1023033586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 416369",
"city": "BOSTON",
"state": "MA",
"postal_code": "022416369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 ROUTE 22",
"city": "BREWSTER",
"state": "NY",
"postal_code": "105094042",
"telephone_number": "845-278-5284",
"fax_number": "845-278-5287"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A&P LIVE BETTER LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "THE GREAT ATLANTIC & PACIFIC TEA CO INC",
"enumeration_date": "2006-07-13",
"last_updated": "2013-05-10",
"status": "A",
"authorized_official_last_name": "KIJOWSKI",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "MANAGER, REGULATORY COMPLIANCE",
"authorized_official_telephone_number": "201-571-8326"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NY",
"license": "031358",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "3301784",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID DME",
"identifier": "019218880442",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01921888",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "A & P PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brewster, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.