Organization
GREAT ATLANTIC & PACIFIC TEA COMPANY INC
Active
Other names
A & P PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN KIJOWSKI (MANAGER, REGULATORY COMPLIANCE)
(201) 571-8326
Entity
Organization
Contact information
Practice address
3500 US HIGHWAY 9, OLD BRIDGE, NJ 08857-2767
(732) 679-7527
(732) 679-2571
Mailing address
PO BOX 416369, BOSTON, MA 02241-6369
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
05285
NJ
333600000X
Pharmacy
Primary
05285
NJ
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3137634
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
6980601
—
NJ
01
—
6980619
MEDICAID DME
NJ
Enumeration date
07/13/2006
Last updated
10/11/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us