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PATHMARK PHARMACY
NPI 1245337005
Pharmacy in Seaford, NY

Active since September 20, 2006
4055 MERRICK RD, SEAFORD, NY 11783(516) 826-6767(516) 826-4477 Get Directions Write a Review

NPPES record last updated: October 8, 2010. 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 1245337005) is a healthcare organization registered as a pharmacy in Seaford, New York and active in the NPI registry since September 2006. The organization lists Susan D Kijowski, Regulatory Compliance Specialist, as its authorized official.

NPPES Registry Identity

NPI1245337005
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NamePATHMARK STORES INC
Location Address4055 MERRICK RDSeaford, NY 11783-2830
Mailing Address2 Paragon DrMontvale, NJ 07645-1718 · (201) 573-9700 · Fax (201) 571-8335
Phone(516) 826-6767
Fax(516) 826-4477
Organization SubpartYesParent: The Great Atlantic & Pacific Tea Co., Inc.
Authorized OfficialSusan D KijowskiRegulatory Compliance Specialist · (201) 571-8326
Enumeration DateSeptember 20, 2006
Last NPPES UpdateOctober 8, 2010
✔ NPI 1245337005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in NY · 012824
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 012824 (NY)
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
4055 MERRICK RD, Seaford, NY 11783
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Other Names 1

Doing Business AsPathmark Pharmacy

Other Identifiers 3

Medicaid00383371NY
Medicare NSC0636000071NY
Other3313931Other 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.

MARTHA M MILLE
Pharmacist
4055 MERRICK RD
SEAFORD, NY 11783
Nassau County (516) 826-6767
BRIGITTE S ZEITOUN RPH
Pharmacist
4055 MERRICK RD
SEAFORD, NY 11783
Nassau County (516) 826-6767
MR. JAMES FRANCIS FITZGERALD RPH
Pharmacist
4055 MERRICK RD
SEAFORD, NY 11783
Nassau County (516) 826-6767
STOP & SHOP SUPERMARKET COMPANY, LLC
Pharmacy (Community/Retail Pharmacy)
4055 MERRICK RD
SEAFORD, NY 11783
Nassau County (516) 826-6767

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 1245337005. 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 4055 Merrick Rd, Seaford, NY 11783. The listed phone number is (516) 826-6767.

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 October 8, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.