NPIMap

Organization Active NPI

Super Fresh Food Markets Inc

Doing business as Super Fresh Pharmacy

  • Pharmacy
  • Ocean City, NJ
National Provider Identifier
1114942778
Registry record updated Nov 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
05807 Issued in NJ
Legal business name
SUPER FRESH FOOD MARKETS INC
Doing business as
Super Fresh Pharmacy
Practice address
800 West Ave
Ocean City, NJ 08226-3610
Phone
(609) 814-9791
Fax
(609) 814-9792
NPI assigned
Jul 13, 2006
Last updated
Nov 18, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
THE GREAT ATLANTIC AND PACIFIC TEA COMPANY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 18, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Susan Kijowski
Title
Pharmacy Specialist
Phone
(201) 571-8326

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 05807 NJ
Pharmacy 333600000X 05807 NJ Primary
Community/Retail Pharmacy 3336C0003X NU

Addresses

Primary practice location

800 West Ave
Ocean City, NJ 08226-3610

Mailing address

800 West Ave
Ocean City, NJ 08226-3610

Other identifiers 3

IdentifierTypeStateIssuer
3141900OtherOTHER ID NUMBER-COMMERCIAL NUMBER
8194009MedicaidNJ
8194009OtherNJMEDICAID DME

Other names 1

  • SUPER FRESH PHARMACY Doing business as

National Provider Directory

National Provider Directory
Part of
The Great Atlantic and

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 40

Organizations listed as members of this organization in the National Provider Directory.

View all 40

Locations

2105 Philadelphia Pike
#562
Claymont, DE 19703
Phone (302) 798-4618

20 Court House South Dennis Rd
Cape May Court House, NJ 08210
Phone (609) 465-4415

440 US Highway 130
Ste 1
East Windsor, NJ 08520
Phone (609) 918-0511

650 W Cuthbert Blvd
Haddon Township, NJ 08108
Phone (856) 833-1710

650 W Cuthbert Blvd
#468
Haddon Township, NJ 08108
Phone (856) 869-9737

800 West Ave
#477
Ocean City, NJ 08226
Phone (609) 814-9791

10 Schalks Crossing Rd
#494
Plainsboro, NJ 08536
Phone (609) 378-0223

2465 S Broad St
Trenton, NJ 08610
Phone (609) 503-0076

450 W Swedesford Rd
Berwyn, PA 19312
Phone (610) 647-8031

2100 County Line Rd
Huntingdon Valley, PA 19006
Phone (215) 355-2730

1851 S Columbus Blvd
Philadelphia, PA 19148
Phone (215) 467-0300

85 Franklin Mills Blvd
Philadelphia, PA 19154
Phone (215) 612-1201

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1195344000000",
    "number": "1114942778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WEST AVE",
            "city": "OCEAN CITY",
            "state": "NJ",
            "postal_code": "082263610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WEST AVE",
            "city": "OCEAN CITY",
            "state": "NJ",
            "postal_code": "082263610",
            "telephone_number": "609-814-9791",
            "fax_number": "609-814-9792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER FRESH FOOD MARKETS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE GREAT ATLANTIC AND PACIFIC TEA COMPANY INC",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-11-18",
        "status": "A",
        "authorized_official_last_name": "KIJOWSKI",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PHARMACY SPECIALIST",
        "authorized_official_telephone_number": "201-571-8326"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "05807",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "05807",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3141900",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8194009",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "8194009",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUPER FRESH PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ocean City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.