DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: GREAT ATLANTIC & PACIFIC TEA COMPANY INC

MEDICARE: GREAT ATLANTIC & PACIFIC TEA COMPANY INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail Pharmacy
2332B00000XDurable Medical Equipment & Medical Supplies05450NJ
3333600000XPharmacy05450NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
33138941OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number : 1861417420
Entity Type Code : Organization
Provider Name (Legal Business Name) : GREAT ATLANTIC & PACIFIC TEA COMPANY INC
Provider Business Mailing Address
First Line : PO BOX 416369
Second Line :
City : BOSTON
State : MA
Zip : 02241-6369
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2160 LEMOINE AVE
Second Line :
City : FORT LEE
State : NJ
Zip : 07024-6002
Country : US
Telephone Number : 201-346-0002
Fax Number : 201-346-1217
Authorized Official
Title or Position : MANAGER, REGULATORY COMPLIANCE
Name : SUSAN KIJOWSKI
Credential :
Telephone Number : 201-571-8326
Provider Enumeration Date : 07/13/2006
Last Update Date : 10/10/2011

Similar Medicare Providers

1700054285 — RICHARD W DEFILIPPIS RPH
Practice Location Address:
2160 LEMOINE AVE
FORT LEE, NJ
07024-6002
Practice Phone: 201-346-0002
Practice Fax:
1942619218 — SAMUEL LEE PHARM. D.
Practice Location Address:
2160 LEMOINE AVE
FORT LEE, NJ
07024-6002
Practice Phone: 201-346-0002
Practice Fax:
1801306543 — ACME MARKETS INC
Practice Location Address:
2160 LEMOINE AVE
FORT LEE, NJ
07024-6002
Practice Phone: 201-944-1466
Practice Fax: 201-944-1558
1285289868 — HUONG N-C TRAN
Practice Location Address:
2160 LEMOINE AVE
FORT LEE, NJ
07024-6002
Practice Phone: 201-944-1466
Practice Fax:
1134848765 — DR. JASPREET KAUR PHARMD
Practice Location Address:
2160 LEMOINE AVE
FORT LEE, NJ
07024-6002
Practice Phone: 201-944-1466
Practice Fax: 201-944-1558
1598555823 — NAMRA VOHRA PHARMD
Practice Location Address:
2160 LEMOINE AVE
FORT LEE, NJ
07024-6002
Practice Phone: 201-944-1466
Practice Fax:

Directions to “GREAT ATLANTIC & PACIFIC TEA COMPANY INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.