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Great Atlantic & Pacific Tea Co., Inc.

Pharmacy in Park Ridge, NJ · enumerated 2007 · authorized official Susan Kijowski, Manager, Regulatory Compliance.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104942259

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Great Atlantic & Pacific Tea Co., Inc.
Other name <Unavail>
Practice address 199 Kinderkamack Rd, Park Ridge, NJ, 07656
Fax (201) 930-9672
Enumeration date Mar 21, 2007
Last updated in NPPES Oct 10, 2011

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers · License 06692 (NJ) Secondary
333600000X Pharmacy Suppliers · License 06692 (NJ) Primary

Authorized official

Name Susan Kijowski
Title Manager, Regulatory Compliance

Other identifiers

Identifier Type State Issuer
8186804 Medicaid NJ -
3194204 Other NJ NCPDP #
8186812 Other NJ MEDICAID DME

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Great Atlantic & Pacific Tea Co., Inc.?
Great Atlantic & Pacific Tea Co., Inc. is registered in NPPES as a Pharmacy (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-10-10.