PATHMARK PHARMACY
NPI 1003913864
Pharmacy in Kinnelon, NJ

Q: What is Pathmark Stores Inc's NPI number?

The NPI number for Pathmark Stores Inc is 1003913864. It was assigned to this organization in the NPPES registry on September 20, 2006. The provider is doing business as Pathmark Pharmacy.

Q: What is Pathmark Stores Inc's specialty?

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

Active since September 20, 2006

25 KINNELON RD, KINNELON, NJ 07405(973) 838-6699(973) 838-1236 Get Directions Write a Review

NPPES record last updated: March 20, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Pathmark Pharmacy NPPES

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

PATHMARK PHARMACY (NPI 1003913864) is a healthcare organization registered as a pharmacy in Kinnelon, New Jersey and active in the NPI registry since September 2006. The organization lists Susan D Kijowski, Pharmacy Specialist, as its authorized official.

NPPES Registry Identity

NPI1003913864

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NamePATHMARK STORES INC

Location Address25 KINNELON RDKinnelon, NJ 07405-2337

Mailing Address2 Paragon DrMontvale, NJ 07645-1718 · (201) 573-9700 · Fax (201) 571-8335

Phone(973) 838-6699

Fax(973) 838-1236

Organization SubpartYesParent: The Great Atlantic & Pacific Tea Co

Authorized OfficialSusan D KijowskiPharmacy Specialist · (201) 571-8326

Enumeration DateSeptember 20, 2006

Last NPPES UpdateMarch 20, 2009

✔ NPI 1003913864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in NJ · RS002015

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 RS2800325300 (NJ)

Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X

25 KINNELON RD, Kinnelon, NJ 07405

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Other Names 1

Doing Business AsPathmark Pharmacy

Other Identifiers 3

Medicare NSC0636000068NJ

Other3102869Other Id Number-commercial Number

Medicaid4305400NJ

Other Providers at the Same Location NPPES 5

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

DR. NIKI PATELLIS O.D.

Optometrist