The Great Atlantic & Pacific Tea Co., Inc.
Pharmacy
216 Old Tappan Road, Old Tappan
New Jersey, 07675
201-391-0639 201-391-1845
The Great Atlantic & Pacific Tea Co., Inc. is an authorized DME supplier for medicare equipments and products.
The Great Atlantic & Pacific Tea Co., Inc. is a Pharmacy in Old Tappan, New Jersey. It is located at 216 Old Tappan Road, Old Tappan and it's customer support contact number is 201-391-0639. The authorized person of The Great Atlantic & Pacific Tea Co., Inc. is Mrs. Susan D Kijowski, BS who is Pharmacy Specialist of the pharmacy and her contact number is 201-571-8326. Active license number of The Great Atlantic & Pacific Tea Co., Inc. is 06711 for Pharmacy in New Jersey. The Great Atlantic & Pacific Tea Co., Inc. accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
The Great Atlantic & Pacific Tea Co., Inc. is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
The Great Atlantic & Pacific Tea Co., Inc. type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | The Great Atlantic & Pacific Tea Co., Inc. |
| Type: | Pharmacy |
| Location: | 216 Old Tappan Road, Old Tappan, New Jersey, 07675 |
| Phone: | 201-391-0639 |
| Fax: | 201-391-1845 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Mrs. Susan D Kijowski |
| Credentials: | BS |
| Position: | Pharmacy Specialist |
| Contact Number: | 201-571-8326 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1477751675 |
| NPI Enumeration Date: | 10 Jul, 2007 |
| NPI Last Update On: | 23 Mar, 2009 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for The Great Atlantic & Pacific Tea Co., Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacy | 06711 | New Jersey | Primary | |
| Mail Order Pharmacy | RS00671100 | New Jersey | Secondary | |
| Durable Medical Equipment & Medical Supplies | 06711 | New Jersey | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| D09109200 | Other | New Jersey | Nj State Cds License |
| RS00671100 | Other | New Jersey | Nj State Pharmacy License |
| 3194470 | Other | New Jersey | Ncpdp # |
Medicare Enrollment:
The Great Atlantic & Pacific Tea Co., Inc. is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 4880713098 | O20100930095304 | Great Atlantic & Pacific Tea Company Inc | DME SUPPLIER - PHARMACY |
Products Available:
The Great Atlantic & Pacific Tea Co., Inc. has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Mail Order | • Blood Glucose Monitors & Supplies: Non-mail Order |
| • Canes & Crutches | • Commodes, Urinals, & Bedpans |
| • Diabetic Shoes & Inserts: Prefabricated | • Enteral Equipment And/or Supplies |
| • Enteral Nutrients | • Heat & Cold Applications |
| • Nebulizer Equipment & Supplies | • Orthoses: Off-the-shelf |
| • Ostomy Supplies | • Surgical Dressings |
| • Tracheostomy Supplies | • Urological Supplies |
| • Walkers | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 216 Old Tappan Road, Old Tappan, New Jersey |
| Zip: | 07675 |
| Phone Number: | 201-391-0639 |
| Fax Number: | 201-391-1845 |
Patients can reach The Great Atlantic & Pacific Tea Co., Inc. at
216 Old Tappan Road, Old Tappan, New Jersey or can
call on customer care at 201-391-0639.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.