NPIMap

Organization Active NPI

The Great Atlantic and Pacific Tea Company Inc

  • Pharmacy
  • Pleasant Valley, NY
National Provider Identifier
1831259894
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
025532 Issued in NY
Legal business name
THE GREAT ATLANTIC AND PACIFIC TEA COMPANY INC
Practice address
13 North Ave
Pleasant Valley, NY 12569
Phone
(845) 635-1078
Fax
(845) 635-1096
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Susan Kijowski
Title
Pharmacy Specialist
Phone
(201) 571-8326

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 025532 NY
Pharmacy 333600000X 025532 NY Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

13 North Ave
Pleasant Valley, NY 12569

Mailing address

PO Box 1387
Pleasant Valley, NY 12569-1387

Other identifiers 3

IdentifierTypeStateIssuer
0235860442OtherNYMEDICAID DME
02358607MedicaidNY
3328552OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • A AND P PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Great Atlantic Pacific Tea Company Inc32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

Organizations that report the same tax identification number in the National Provider Directory.

View all 31

Locations

13 North Ave
Pleasant Valley, NY 12569
Phone (845) 635-1078

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1831259894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1387",
            "city": "PLEASANT VALLEY",
            "state": "NY",
            "postal_code": "125691387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 NORTH AVE",
            "city": "PLEASANT VALLEY",
            "state": "NY",
            "postal_code": "12569",
            "telephone_number": "845-635-1078",
            "fax_number": "845-635-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GREAT ATLANTIC AND PACIFIC TEA COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "KIJOWSKI",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PHARMACY SPECIALIST",
        "authorized_official_telephone_number": "201-571-8326"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "025532",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "025532",
            "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": "MEDICAID DME",
            "identifier": "0235860442",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02358607",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3328552",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A AND P PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pleasant Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; 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.