SUPER FRESH PHARMACY – NPI #1114942760
Pharmacy
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.
SUPER FRESH PHARMACY is a pharmacy located in PERRY HALL, MD. NPPES has assigned the NPI number 1114942760 to SUPER FRESH PHARMACY on July 13, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SUPER FRESH PHARMACY” is a dba name, the actual legal business name for this organization is THE GREAT ATLANTIC AND PACIFIC TEA COMPANY INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 333600000X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy.
The NPI profile was previously updated about 19 years ago on Nov 22, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SUPER FRESH PHARMACY below.
NPI Profile for
THE GREAT ATLANTIC AND PACIFIC TEA COMPANY INC
(about 20 years ago)
PERRY HALL, MD 21236 Phone: (410) 657-0026 Fax: (410) 256-4231
PHARMACY SPECIALIST
Phone: (201) 571-8326
Identifiers for SUPER FRESH PHARMACY
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | OTHER ID NUMBER-COMMERCIAL NUMBER | 2126286 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 333600000X - Pharmacy (Primary) |
MD | P02689 |
| 3336C0003X - Pharmacy / Community/Retail Pharmacy |
||
| 332B00000X - Durable Medical Equipment & Medical Supplies |
MD | P02689 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.