PATHMARK PHARMACY
NPI 1053418814
Pharmacy in Staten Island, NY

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

The NPI number for Pathmark Stores Inc is 1053418814. 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

2660 HYLAN BLVD, STATEN ISLAND, NY 10306(718) 979-1005(718) 980-5512 Get Directions Write a Review

NPPES record last updated: July 19, 2007. Verified against the NPPES registry weekly; last sync: August 16, 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 1053418814) is a healthcare organization registered as a pharmacy in Staten Island, New York and active in the NPI registry since September 2006. The organization lists Mindi Norelli, Admin, as its authorized official.

NPPES Registry Identity

NPI1053418814

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NamePATHMARK STORES INC

Location Address2660 HYLAN BLVDStaten Island, NY 10306-4355

Mailing Address200 Milik St, M115Carteret, NJ 07008-1102

Phone(718) 979-1005

Fax(718) 980-5512

Organization SubpartNo

Authorized OfficialMindi NorelliAdmin · (732) 499-3313

Enumeration DateSeptember 20, 2006

Last NPPES UpdateJuly 19, 2007

✔ NPI 1053418814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in NY · 014471

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 ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X

2660 HYLAN BLVD, Staten Island, NY 10306

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Other Names 1

Doing Business AsPathmark Pharmacy

Other Identifiers 2

Other3314173Other Id Number-commercial Number

Medicaid00264833NY

Other Providers at the Same Location NPPES 8

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

PATHMARK

Pharmacist