PATHMARK PHARMACY
NPI 1164529921
Pharmacy in Jamaica, NY

Active since September 20, 2006
13440 SPRINGFIELD BLVD, JAMAICA, NY 11413(718) 525-2422(718) 525-2180 Get Directions Write a Review

NPPES record last updated: March 25, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pathmark Pharmacy NPPES

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

PATHMARK PHARMACY (NPI 1164529921) is a healthcare organization registered as a pharmacy in Jamaica, 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

NPI1164529921
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NamePATHMARK STORES INC
Location Address13440 SPRINGFIELD BLVDJamaica, NY 11413-1459
Mailing Address2 Paragon DrMontvale, NJ 07645-1718 · (201) 573-9700 · Fax (201) 571-8335
Fax(718) 525-2180
Organization SubpartYesParent: The Great Atlantic & Pacific Tea Co Inc
Authorized OfficialSusan D KijowskiPharmacy Specialist · (201) 571-8326
Enumeration DateSeptember 20, 2006
Last NPPES UpdateMarch 25, 2009
NPI 1164529921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in NY · 024533
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 024533 (NY)
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
13440 SPRINGFIELD BLVD, Jamaica, NY 11413

Other Names 1

Doing Business AsPathmark Pharmacy

Other Identifiers 3

Medicare NSC0636000193NY
Medicaid02042762NY
Other3310478Other Id Number-commercial Number

Other Providers at the Same Location NPPES 4

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

Pharmacist
13440 SPRINGFIELD BLVD
JAMAICA, NY 11413
Dentist (Orthodontics and Dentofacial Orthopedics)
13440 SPRINGFIELD BLVD
SPRINGFIELD GARDENS, NY 11413
Pharmacist
13440 SPRINGFIELD BLVD
SPRINGFIELD GARDENS, NY 11413
Pharmacy (Community/Retail Pharmacy)
13440 SPRINGFIELD BLVD
SPRINGFIELD GARDENS, NY 11413

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 1164529921. 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 13440 Springfield Blvd, Jamaica, NY 11413. The listed phone number is (718) 525-2422.

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 25, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.