Great Atlantic & Pacific Tea Company Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

023087 Issued in NY

Legal business name

GREAT ATLANTIC & PACIFIC TEA COMPANY INC

Doing business as

A & P Pharmacy

Practice address

1643 Route 82
Lagrangeville, NY 12540-6039

Phone

(845) 227-3741

Fax

(845) 227-7908

NPI assigned

Jul 13, 2006

Organization subpart

No

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 3

Addresses

Other identifiers 3

Other names 1

• A & P PHARMACY Doing business as

Member of 3

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

• Pathmark Stores Inc

  dba Pathmark Pharmacy

  • Pharmacy
  • Brooklyn, NY
  • NPI 1871690636

  Member Of

  NPD member
• Waldbaum Inc

  dba Waldbaums Pharmacy

  • Pharmacy
  • East Meadow, NY
  • NPI 1811912462

  Member Of

  NPD member
• Food Basics, Inc

  dba Drug Basics Pharmacy # 036

  • Pharmacy
  • Paterson, NJ
  • NPI 1346470325

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roxan Plunkett, RPH

  • Pharmacist
  • Lagrangeville, NY
  • NPI 1013189760
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1295750750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41639",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1643 ROUTE 82",
            "city": "LAGRANGEVILLE",
            "state": "NY",
            "postal_code": "125406039",
            "telephone_number": "845-227-3741",
            "fax_number": "845-227-7908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT ATLANTIC & PACIFIC TEA COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2011-10-06",
        "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": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "023087",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "023087",
            "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": "3316432",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01713280",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "017132800442",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A & P PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Neerja Goel, O.D.
• Jessica Gomes, M.S.
• Veronica Gordon
• Rachel Lynn Grahn, LCSW
• John P Granger, DMD
• Robert S Greenbaum, OD
• Michelle A Grossman, RDMS
• Julissa Guzman
• Health Quest Medical Practice
• Madeline J Hildreth, DC

• Pharmacy in Lagrangeville, NY
• Providers in Lagrangeville, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.