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SUPER FRESH PHARMACY # 804
NPI 1295950350
Pharmacy in Lansdale, PA

Active since April 16, 2007
616 E MAIN ST, LANSDALE, PA 19446(215) 855-5606(215) 855-6097 Get Directions Write a Review

NPPES record last updated: November 14, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Super Fresh Pharmacy # 804 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUPER FRESH PHARMACY # 804 (NPI 1295950350) is a healthcare organization registered as a pharmacy in Lansdale, Pennsylvania and active in the NPI registry since April 2007. The organization lists Carol J. Dinicolantonio, Sr. Director, Pharmacy, as its authorized official.

NPPES Registry Identity

NPI1295950350
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameSUPER FRESH FOOD MARKETS, INC.
Location Address616 E MAIN STLansdale, PA 19446-2964
Mailing Address616 E Main StLansdale, PA 19446-2964 · (215) 855-5606 · Fax (215) 855-6097
Phone(215) 855-5606
Fax(215) 855-6097
Organization SubpartYesParent: The Great Atlantic & Pacific Tea Co., Inc.
Authorized OfficialCarol J. DinicolantonioSr. Director, Pharmacy · (201) 571-8334
Enumeration DateApril 16, 2007
Last NPPES UpdateNovember 14, 2007
✔ NPI 1295950350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in PA · PP481110
Definition
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License PP481110 (PA)
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X · License PP481110 (PA)
616 E MAIN ST, Lansdale, PA 19446
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Other Names 1

Doing Business AsSuper Fresh Pharmacy # 804

Other Identifiers 4

OtherPP481110PA · State License
Medicaid1007725100056PA
Medicare NSC0813370032PA
Other3987572PA · Ncpdp #

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DONNA MARIE DEVINEY RPH
Pharmacist
616 E MAIN ST
LANSDALE, PA 19446
Montgomery County (215) 855-5606
LINDA EVRARD MCANDREW RPH
Pharmacist
616 E MAIN ST
LANSDALE, PA 19446
Montgomery County (215) 855-5606
CLEMENS MARKET INC
Pharmacy (Community/Retail Pharmacy)
616 E MAIN ST, HILLCREST SHOPPING CENTER
LANSDALE, PA 19446
Montgomery County (215) 855-0734

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Super Fresh Food Markets, Inc.'s NPI number?

The NPI number for Super Fresh Food Markets, Inc. is 1295950350. It was assigned to this organization in the NPPES registry on April 16, 2007. The provider is doing business as Super Fresh Pharmacy # 804.

Where is Super Fresh Food Markets, Inc. located?

Super Fresh Food Markets, Inc. is located at 616 E Main St, Lansdale, PA 19446. The listed phone number is (215) 855-5606.

What is Super Fresh Food Markets, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Super Fresh Food Markets, Inc. was last updated on November 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.