LIVE BETTER PHARMACY # 441 – NPI #1477751675
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.

Health Care Provider Taxonomy Code for Pharmacy

LIVE BETTER PHARMACY # 441 is a pharmacy located in OLD TAPPAN, NJ. NPPES has assigned the NPI number 1477751675 to LIVE BETTER PHARMACY # 441 on July 10, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LIVE BETTER PHARMACY # 441” is a dba name, the actual legal business name for this organization is THE GREAT ATLANTIC & PACIFIC TEA CO., 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 17 years ago on Mar 23, 2009. 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 LIVE BETTER PHARMACY # 441 below.

NPI Profile for
THE GREAT ATLANTIC & PACIFIC TEA CO., INC.

NPI Number
1477751675
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
THE GREAT ATLANTIC & PACIFIC TEA CO., INC.
Doing Business As (dba): LIVE BETTER PHARMACY # 441
Primary location
216 OLD TAPPAN ROAD
OLD TAPPAN, NJ 07675
Phone: (201) 391-0639 Fax: (201) 391-1845
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SUSAN KIJOWSKI
PHARMACY SPECIALIST
Phone: (201) 571-8326
Updated
Identifiers

Identifiers for LIVE BETTER PHARMACY # 441

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.

DescriptionIssuerStateIdentifier
OTHERNCPDP #NJ3194470
OTHERNJ STATE CDS LICENSENJD09109200
OTHERNJ STATE PHARMACY LICENSENJRS00671100
Taxonomy Code(s)

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)		 NJ 06711
3336M0002X
- Pharmacy / Mail Order Pharmacy		 NJ RS00671100
332B00000X
- Durable Medical Equipment & Medical Supplies		 NJ 06711

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.