| Organization Name: | VILLAGE SUPER MARKET OF NJ, L.P. |
| NPI Number: | 1174663538 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR) |
| Mailing Address: | 178 E Hanover Ave Cedar Knolls |
| State: | NJ US |
| Postal Code: | 07927 |
| Phone Number: | 9735393907 |
| Fax Number: | 9735383919 |
| NPI Enumeration Date: | 02/07/2007 |
| NPI Last Update Date: | 12/06/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3336C0002X |
| License Number: | RS003355 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Pharmacy |
| Taxonomy Specialization: | Clinic Pharmacy |
| Taxonomy Definition: | A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |