OrganizationActive
The Great Atlantic and Pacific Tea Company Inc
NPI 1316962962 · Pharmacy · Mount Airy, MD
The Great Atlantic and Pacific Tea Company Inc is a Pharmacy organization in Mount Airy, MD (NPI 1316962962).
Provider details
- NPI number
- 1316962962
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Susan Kijowski, Pharmacy Specialist(201) 571-8326
- License
- P02062 (MD)
Specialties & taxonomies
Suppliers
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
Profile Score
Detailed profile(91/100 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
504 E Ridgeville Blvd
Mount Airy, MD 21771-5252
Phone: (301) 829-6402
Fax: (301) 829-6404
Street-level locationGet directions
Mailing address
504 E Ridgeville Blvd
Mount Airy, MD 21771-5252
Other names (DBA / former)
- Doing business as
- Super Fresh Pharmacy
Registry dates
- Enumerated
- 2006-07-13
- Last updated
- 2007-11-22
Frequently asked questions
- What is The Great Atlantic and Pacific Tea Company Inc's NPI number?
- The Great Atlantic and Pacific Tea Company Inc's National Provider Identifier (NPI) is 1316962962, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is The Great Atlantic and Pacific Tea Company Inc?
- The Great Atlantic and Pacific Tea Company Inc is classified in the NPPES registry as Pharmacy (Suppliers).
- Where is The Great Atlantic and Pacific Tea Company Inc located?
- The Great Atlantic and Pacific Tea Company Inc's practice location on file with NPPES is 504 E Ridgeville Blvd, Mount Airy, MD 21771-5252.
- What is The Great Atlantic and Pacific Tea Company Inc's phone number?
- The practice phone number listed in the NPPES registry for The Great Atlantic and Pacific Tea Company Inc is (301) 829-6402.
- Who is the authorized official for The Great Atlantic and Pacific Tea Company Inc?
- The authorized official listed on The Great Atlantic and Pacific Tea Company Inc's NPPES record is Susan Kijowski, Pharmacy Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is The Great Atlantic and Pacific Tea Company Inc's NPI active?
- Yes — The Great Atlantic and Pacific Tea Company Inc's NPI (1316962962) is active in the NPPES registry as of the last update on 2007-11-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.