Great Atlantic & Pacific Tea Company Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

05260 Issued in NJ

Legal business name

GREAT ATLANTIC & PACIFIC TEA COMPANY INC

Doing business as

A & P Pharmacy

Practice address

5774 Berkshire Valley Rd
Oak Ridge, NJ 07438-9847

Phone

(973) 208-2255

Fax

(973) 208-2194

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.

• Food Basics, Inc

  dba Drug Basics Pharmacy # 036

  • Pharmacy
  • Paterson, NJ
  • NPI 1346470325

  Member Of

  NPD member
• 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

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": "1780609347",
    "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": "5774 BERKSHIRE VALLEY RD",
            "city": "OAK RIDGE",
            "state": "NJ",
            "postal_code": "074389847",
            "telephone_number": "973-208-2255",
            "fax_number": "973-208-2194"
        }
    ],
    "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": "6939813",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "05260",
            "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": "3137610",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6939805",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "6939813",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A & P PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristin Terese Flynn Bednarz, APN
• Shiv Gandhi
• Ancy S George, MSN, RN ,AGPCNP,CCRN
• Stephen B Gloria, D.O.
• Valerie Marie Gould, M.A. CCC-SLP
• Carrie Haight-Ray, LPC
• Emily B. Hall, D.MIN., LAC
• Healthy Plates LLC
• Jedaiah S Holloway
• Hanan H Jafar

• Pharmacy in Oak Ridge, NJ
• Providers in Oak Ridge, 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.