OrganizationActive
Great Atlantic & Pacific Tea Co., Inc.
NPI 1104942259 · Pharmacy · Park Ridge, NJ
Provider details
- NPI number
- 1104942259
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Susan Kijowski, Manager, Regulatory Compliance(201) 571-8326
- License
- 06692 (NJ)
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
199 Kinderkamack Rd
Park Ridge, NJ 07656-1335
Phone: (201) 391-3232
Fax: (201) 930-9672
Street-level locationGet directions
Mailing address
Po Box 416369
Boston, MA 02241-6369
Other names (DBA / former)
- Doing business as
- A&p Pharmacy # 664
Registry dates
- Enumerated
- 2007-03-21
- Last updated
- 2011-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.