GREAT ATLANTIC & PACIFIC TEA COMPANY INC — NPI 1225053887 (Licensed & Credentialed Suppliers

CMS-1500 Box 24J / 33a • NPI

1225053887

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

333600000X (CMS 58)

Licensed & Credentialed Suppliers — Pharmacy

Box 32 Service Location & ZIP+4

459 STATE ROUTE 31, HAMPTON, NJ, 08827-4526

✓ 9-Digit EDI 837 ZIP+4 (08827-4526)

Practice Phone & Referral Fax

(908) 537-9299

Fax: (908) 537-9226

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1225053887 (GREAT ATLANTIC & PACIFIC TEA COMPANY INC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1225053887` (NPI-2 Organization / Facility)
Provider / Legal Name	GREAT ATLANTIC & PACIFIC TEA COMPANY INC
Plain-English Specialty	Licensed & Credentialed Suppliers — Pharmacy NUCC Code: `333600000X` (Pharmacy)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	459 STATE ROUTE 31, HAMPTON, NJ, 08827-4526
Practice Telephone / Fax	Tel: (908) 537-9299 \| Fax: (908) 537-9226
Administrative Mailing Address	PO BOX 416369, BOSTON, MA, 02241-6369
Enumeration & Last Sync	Enumerated: 2006-07-13 \| CMS Record Updated: 2011-10-11
Authorized Official	SUSAN KIJOWSKI (MANAGER, REGULATORY COMPLIANCE)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

459 STATE ROUTE 31, HAMPTON, NJ, 08827-4526

🗺️ Open in Google Maps 🏥 More Providers in HAMPTON

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Plain-English Taxonomy & CMS Crosswalk (333600000X)

What Does Taxonomy Code 333600000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 333600000X translates to:
"Licensed & Credentialed Suppliers — Pharmacy"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 58 (Medical Supply Company with Pharmacist) • CMS Code A5 (Pharmacy)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Pharmacy for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (GREAT ATLANTIC & PACIFIC TEA COMPANY INC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`3336C0003X` — Pharmacy, Community/Retail Pharmacy Plain English: Licensed & Credentialed Suppliers — Pharmacy, Community — Retail Pharmacy	State: N/A \| License: `Verified` \| Primary: Secondary
`332B00000X` — Durable Medical Equipment & Medical Supplies Plain English: Licensed & Credentialed Suppliers — Durable Medical Equipment & Medical Supplies	State: NJ \| License: `05352` \| Primary: Secondary
`333600000X` — Pharmacy Plain English: Licensed & Credentialed Suppliers — Pharmacy	State: NJ \| License: `05352` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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GREAT ATLANTIC & PACIFIC TEA COMPANY INC (NPI #1225053887)