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PATHMARK PHARMACY
NPI 1043317811
Pharmacy in Ozone Park, NY

Active since September 20, 2006
9210 ATLANTIC AVE, OZONE PARK, NY 11416(718) 835-7903(718) 641-3530 Get Directions Write a Review

NPPES record last updated: March 20, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pathmark Pharmacy NPPES

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

PATHMARK PHARMACY (NPI 1043317811) is a healthcare organization registered as a pharmacy in Ozone Park, New York and active in the NPI registry since September 2006. The organization lists Susan D Kijowski, Pharmacy Specialist, as its authorized official.

NPPES Registry Identity

NPI1043317811
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NamePATHMARK STORES INC
Location Address9210 ATLANTIC AVEOzone Park, NY 11416-1517
Mailing Address2 Paragon DrMontvale, NJ 07645-1718 · (201) 573-9700 · Fax (201) 571-8335
Phone(718) 835-7903
Fax(718) 641-3530
Organization SubpartYesParent: The Great Atlantic & Pacific Tea Co Inc
Authorized OfficialSusan D KijowskiPharmacy Specialist · (201) 571-8326
Enumeration DateSeptember 20, 2006
Last NPPES UpdateMarch 20, 2009
✔ NPI 1043317811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in NY · 018785
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 018785 (NY)
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
9210 ATLANTIC AVE, Ozone Park, NY 11416
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Other Names 1

Doing Business AsPathmark Pharmacy

Other Identifiers 3

Medicaid00914269NY
Medicare NSC0636000056NY
Other3385122Other Id Number-commercial Number

Other Providers at the Same Location NPPES 7

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

JESSICA RAMASAMI PHARMD
Pharmacist
9210 ATLANTIC AVE
OZONE PARK, NY 11416
Queens County (718) 835-7903
MR. ROBERT F. PETSCHE RPH.
Pharmacist
9210 ATLANTIC AVE
OZONE PARK, NY 11416
Queens County (718) 835-7903
ABO MULOKANDOV
Pharmacist
9210 ATLANTIC AVE
OZONE PARK, NY 11416
Queens County (718) 835-7903
DR. MELISSA KARISMA PHARSI PHARMD
Pharmacist
9210 ATLANTIC AVE
OZONE PARK, NY 11416
Queens County (718) 835-7903
FARHEEN RASHID PHARM D
Pharmacist
9210 ATLANTIC AVE
OZONE PARK, NY 11416
Queens County (718) 835-7903
MARIA BIBI PHARMD
Pharmacist
9210 ATLANTIC AVE
OZONE PARK, NY 11416
Queens County (718) 845-7903
RUSLAN MOSHEYEV PHARMD
Pharmacist
9210 ATLANTIC AVE
OZONE PARK, NY 11416
Queens County (718) 835-7903

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 Pathmark Stores Inc's NPI number?

The NPI number for Pathmark Stores Inc is 1043317811. It was assigned to this organization in the NPPES registry on September 20, 2006. The provider is doing business as Pathmark Pharmacy.

Where is Pathmark Stores Inc located?

Pathmark Stores Inc is located at 9210 Atlantic Ave, Ozone Park, NY 11416. The listed phone number is (718) 835-7903.

What is Pathmark Stores 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 Pathmark Stores Inc was last updated on March 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.