Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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The Great Atlantic and Pacific Tea Company Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1316962962

The Great Atlantic and Pacific Tea Company Inc is a Durable Medical Equipment & Medical Supplies in Mount Airy, Maryland. Licensed in Maryland. Registered with an NPI since 2006.

Licensed in
MD
In the registry since
2006
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

504 E Ridgeville Blvd
Mount Airy, MD 21771-5252
Phone: (301) 829-6402
Fax: (301) 829-6404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence P02062 (MD)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X · Licence P02062 (MD)
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1316962962
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Kijowski — Pharmacy Specialist · (201) 571-8326
Other names Super Fresh Pharmacy
NPI enumeratedJuly 13, 2006
Last updated in NPPESNovember 22, 2007
Mailing address504 E Ridgeville Blvd, Mount Airy, MD 21771-5252

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