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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Great Atlantic & Pacific Tea Company Inc

Pharmacy in Patterson, NY · enumerated 2006 · authorized official Susan Kijowski, Manager, Regulatory Compliance.

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

National Provider Identifier

1730104290

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Great Atlantic & Pacific Tea Company Inc
Other name <Unavail>
Practice address 3113 Route 22, Patterson, NY, 12563
Fax (845) 878-3013
Enumeration date Jul 13, 2006
Last updated in NPPES Oct 10, 2011

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers · License 023552 (NY) Secondary
333600000X Pharmacy Suppliers · License 023552 (NY) Primary
3336C0003X Community/Retail Pharmacy Suppliers Secondary

Authorized official

Name Susan Kijowski
Title Manager, Regulatory Compliance

Other identifiers

Identifier Type State Issuer
01818717 Medicaid NY -
018187170442 Other NY MEDICAID DME
3334480 Other - OTHER ID NUMBER-COMMERCIAL NUMBER

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

Where is Great Atlantic & Pacific Tea Company Inc located?
The practice location on file with NPPES is in Patterson, NY.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-10-10. Verify at npiregistry.cms.hhs.gov.

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