Great Atlantic & Pacific Tea Company Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

05911 Issued in NJ

Legal business name

GREAT ATLANTIC & PACIFIC TEA COMPANY INC

Doing business as

A & P Pharmacy

Practice address

63 Wanaque Ave
Pompton Lakes, NJ 07442

Phone

(973) 616-9962

Fax

(973) 616-9965

NPI assigned

Jul 13, 2006

Last updated

Oct 10, 2011By the provider in NPPES

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.

• Food Basics Inc

  dba Drug Basics Pharmacy #512

  • Pharmacy
  • North Bergen, NJ
  • NPI 1336164995

  Member Of

  NPD member
• Super Fresh Food Markets Inc

  dba Super Fresh Pharmacy

  • Pharmacy
  • Ocean City, NJ
  • NPI 1114942778

  Member Of

  NPD member
• Waldbaum Inc

  dba Waldbaums Pharmacy

  • Pharmacy
  • Whitestone, NY
  • NPI 1275558827

  Member Of

  NPD member

Locations

Practitioners 2

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.

• Veena Booncharoen-Chien

  • Pharmacist
  • Pompton Lakes, NJ
  • NPI 1801055058
  NPD (past)
• Yusuf Oksas, RPH.

  • Pharmacist
  • Pompton Lakes, NJ
  • NPI 1598933905
  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": "1318204800000",
    "number": "1669497228",
    "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": "63 WANAQUE AVE",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "07442",
            "telephone_number": "973-616-9962",
            "fax_number": "973-616-9965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT ATLANTIC & PACIFIC TEA COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2011-10-10",
        "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": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "05911",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "05911",
            "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": "3142635",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8440603",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "8440611",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A & P PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Larisa K Gershman, MD
• Laurel A Giegerich
• Margaret Ann Gill, LPC,
• Joseph G Giuliano, DDS
• Joyce Graham, LPC
• Felicia Greulich, APN
• Dawn Grieder, LMT
• Elif Hajaluga
• Paige Louise Halverson
• Takrima Helal

• Pharmacy in Pompton Lakes, NJ
• Providers in Pompton Lakes, 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 10, 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.