Food Basics Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

06238 Issued in NJ

Legal business name

FOOD BASICS INC

Practice address

1417 Kennedy Blvd # 27
North Bergen, NJ 07047-6307

Phone

(201) 864-5617

Fax

(201) 864-5623

NPI assigned

Jul 13, 2006

Organization subpart

Yes

Parent organization

GREAT ATLANTIC & PACIFIC TEA CO., INC.As reported in NPPES

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

• DRUG BASICS PHARMACY #512 Doing business as

Part of

Great Atlantic Pacific Tea Company Inc

Locations

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318291200000",
    "number": "1336164995",
    "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",
            "telephone_number": "201-864-5617",
            "fax_number": "201-864-5623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 KENNEDY BLVD # 27",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070476307",
            "telephone_number": "201-864-5617",
            "fax_number": "201-864-5623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOD BASICS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREAT ATLANTIC & PACIFIC TEA CO., INC.",
        "enumeration_date": "2006-07-13",
        "last_updated": "2011-10-11",
        "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": "NJ",
            "license": "06238",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "06238",
            "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": "3135058",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008087",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "0008095",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DRUG BASICS PHARMACY #512",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Minorka Gizzette Figueroa-Davila, MD
• Megan Fink, AUD
• Stephanie Fischer-Nash, PA C
• Kathleen Flawagan, APN-BC
• Megan A Foley, PA-C
• Foot and Ankle Care Clinic LLC
• Ferdinando David Forcellati, PT MA PT GDMT
• Fox Rehabilitation
• Deepa Francis, MD
• Karen Francis, APN, RN

• Pharmacy in North Bergen, NJ
• Providers in North Bergen, NJ by specialty
• Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.