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PATHMARK PHARMACY
NPI 1083639637
Pharmacy in Philadelphia, PA

Active since July 13, 2006
2101-41 COTTMAN AVE, PHILADELPHIA, PA 19149(215) 725-3582(215) 725-3524 Get Directions Write a Review

NPPES record last updated: April 14, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pathmark Pharmacy NPPES

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

PATHMARK PHARMACY (NPI 1083639637) is a healthcare organization registered as a pharmacy in Philadelphia, Pennsylvania and active in the NPI registry since July 2006. The organization lists Susan Kijowski, Regulatory Compliance Specialist, as its authorized official.

NPPES Registry Identity

NPI1083639637
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameSUPER FRESH FOOD MARKETS INC
Location Address2101-41 COTTMAN AVEPhiladelphia, PA 19149-1122
Mailing Address2 Paragon DrMontvale, NJ 07645-1718 · (201) 573-9700 · Fax (201) 571-8335
Phone(215) 725-3582
Fax(215) 725-3524
Organization SubpartYesParent: The Great Atlantic And Pacific Tea Company Inc
Authorized OfficialSusan KijowskiRegulatory Compliance Specialist · (201) 571-8326
Enumeration DateJuly 13, 2006
Last NPPES UpdateApril 14, 2011
✔ NPI 1083639637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in PA · PP415281L
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 PP415281L (PA)
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
2101-41 COTTMAN AVE, Philadelphia, PA 19149
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Other Names 1

Doing Business AsPathmark Pharmacy

Other Identifiers 3

Medicaid1007725100050PA
Medicare NSC0813370027PA
Other3972836Other Id Number-commercial Number

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 1083639637. It was assigned to this organization in the NPPES registry on July 13, 2006. The provider is doing business as Pathmark Pharmacy.

Where is Super Fresh Food Markets Inc located?

Super Fresh Food Markets Inc is located at 2101-41 Cottman Ave, Philadelphia, PA 19149. The listed phone number is (215) 725-3582.

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 April 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.