Active NPI
Great Atlantic & Pacific Tea Company Inc
- Pharmacy
- Yorktown Heights, NY
National Provider Identifier
1831112986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 021132
- Legal business name
- GREAT ATLANTIC & PACIFIC TEA COMPANY INC
- Practice address
- 100 Triangle Ctr
Saw Mill River Rd
Yorktown Heights, NY 10598-4134 - Phone
- (914) 962-0534
- Fax
- (914) 243-9298
- NPI assigned
- Jul 26, 2006
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 021132 | NY | |
| Pharmacy | 333600000X | 021132 | NY | Primary |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
100 Triangle Ctr
Saw Mill River Rd
Yorktown Heights, NY 10598-4134
Mailing address
PO Box 41639
Boston, MA 02241-6369
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01271989 | Medicaid | NY | |
| 3399828 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names 1
- A & P PHARMACY
National Provider Directory
National Provider DirectoryLocations
100 Triangle Ctr
Yorktown Heights, NY 10598
Phone (914) 245-5800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1317859200000",
"number": "1831112986",
"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": "100 TRIANGLE CTR",
"address_2": "SAW MILL RIVER RD",
"city": "YORKTOWN HEIGHTS",
"state": "NY",
"postal_code": "105984134",
"telephone_number": "914-962-0534",
"fax_number": "914-243-9298"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREAT ATLANTIC & PACIFIC TEA COMPANY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-26",
"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": "021132",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NY",
"license": "021132",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01271989",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "3399828",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "A & P PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Yorktown Heights, NY
Sources for this page
- 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.