PATHMARK PHARMACY
NPI 1225135098
Pharmacy in Port Chester, NY

Active since September 20, 2006
130 MIDLAND AVE, PORT CHESTER, NY 10573(914) 937-0996(914) 937-5015 Get Directions Write a Review

NPPES record last updated: March 16, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Pathmark Pharmacy NPPES

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

PATHMARK PHARMACY (NPI 1225135098) is a healthcare organization registered as a pharmacy in Port Chester, 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

NPI1225135098
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NamePATHMARK STORES INC
Location Address130 MIDLAND AVEPort Chester, NY 10573-4916
Mailing Address2 Paragon DrMontvale, NJ 07645-1718 · (201) 571-8326 · Fax (201) 571-8335
Fax(914) 937-5015
Organization SubpartYesParent: The Great Atlantic & Pacific Tea Co Inc
Authorized OfficialSusan D KijowskiPharmacy Specialist · (201) 571-8326
Enumeration DateSeptember 20, 2006
Last NPPES UpdateMarch 16, 2009
NPI 1225135098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in NY · 017766
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 017766 (NY)
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
130 MIDLAND AVE, Port Chester, NY 10573

Other Names 1

Doing Business AsPathmark Pharmacy

Other Identifiers 3

Medicaid00767217NY
Other3376426Other Id Number-commercial Number
Medicare NSC0636000057NY

Other Providers at the Same Location NPPES

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

Pharmacist
130 MIDLAND AVE
PORT CHESTER, NY 10573

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225135098, enumerated as an "organization" on September 20, 2006.

The provider is located at 130 MIDLAND AVE PORT CHESTER, NY 10573 and the phone number is (914) 937-0996.

Pharmacy with taxonomy code 333600000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.