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PATHMARK PHARMACY
NPI 1235236001
Pharmacy in Bay Shore, NY

Active since September 20, 2006
2060 SUNRISE HWY, BAY SHORE, NY 11706(631) 666-5501(631) 666-4680 Get Directions Write a Review

NPPES record last updated: August 18, 2010. 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 1235236001) is a healthcare organization registered as a pharmacy in Bay Shore, New York and active in the NPI registry since September 2006. The organization lists Susan D Kijowski, Reg Compliance Specialist, as its authorized official.

NPPES Registry Identity

NPI1235236001
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NamePATHMARK STORES INC
Location Address2060 SUNRISE HWYBay Shore, NY 11706-6018
Mailing Address2 Paragon DrMontvale, NJ 07645-1718 · (201) 573-9700 · Fax (201) 571-8335
Phone(631) 666-5501
Fax(631) 666-4680
Organization SubpartYesParent: The Great Atlantic & Pacific Tea Co., Inc.
Authorized OfficialSusan D KijowskiReg Compliance Specialist · (201) 571-8326
Enumeration DateSeptember 20, 2006
Last NPPES UpdateAugust 18, 2010
✔ NPI 1235236001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in NY · 015200
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
2060 SUNRISE HWY, Bay Shore, NY 11706
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Other Names 1

Doing Business AsPathmark Pharmacy

Other Identifiers 2

Other3351765Other Id Number-commercial Number
Medicaid00513084NY

Other Providers at the Same Location NPPES 2

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

DR. NATASHA H JOHNSON PHARM D
Pharmacist
2060 SUNRISE HWY
BAY SHORE, NY 11706
Suffolk County (631) 666-5501
PETER ALEX SPIRATOS
Pharmacist
2060 SUNRISE HWY
BAY SHORE, NY 11706
Suffolk County (631) 666-5501

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 1235236001. 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 2060 Sunrise Hwy, Bay Shore, NY 11706. The listed phone number is (631) 666-5501.

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 August 18, 2010. 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.