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Great Atlantic & Pacific Tea Company Inc

Pharmacy in Clark, NJ · enumerated 2006 · authorized official Susan Kijowski, Manager, Regulatory Compliance.

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

National Provider Identifier

1861552002

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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 1060 Raritan Rd, Clark, NJ, 07066
Fax (732) 396-1790
Enumeration date Dec 11, 2006
Last updated in NPPES Oct 11, 2011

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers · License RS00665900 (NJ) Secondary
333600000X Pharmacy Suppliers · License RS00665900 (NJ) Primary
3336C0003X Community/Retail Pharmacy Suppliers · License RS00665900 (NJ) Secondary

Authorized official

Name Susan Kijowski
Title Manager, Regulatory Compliance

Other identifiers

Identifier Type State Issuer
3194026 Other - OTHER ID NUMBER-COMMERCIAL NUMBER
0119792 Medicaid NJ -

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 Clark, NJ.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-10-11. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-10-11.