PATHMARK PHARMACY
NPI 1265539027
Pharmacy in Newark, NJ

Active since September 20, 2006
167 BERGEN ST, NEWARK, NJ 07103(973) 242-2838(973) 242-6526 Get Directions Write a Review

NPPES record last updated: December 10, 2008. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Pathmark Pharmacy NPPES

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

PATHMARK PHARMACY (NPI 1265539027) is a healthcare organization registered as a pharmacy in Newark, New Jersey and active in the NPI registry since September 2006. The organization lists Susan D Kijowski, Pharmacy Specialist, as its authorized official.

NPPES Registry Identity

NPI1265539027
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NamePATHMARK STORES INC
Location Address167 BERGEN STNewark, NJ 07103-2426
Mailing Address2 Paragon DrMontvale, NJ 07645-1718 · (201) 573-9700 · Fax (201) 571-8335
Fax(973) 242-6526
Organization SubpartYesParent: The Great Atlantic & Pacific Tea Co
Authorized OfficialSusan D KijowskiPharmacy Specialist · (201) 571-8326
Enumeration DateSeptember 20, 2006
Last NPPES UpdateDecember 10, 2008
NPI 1265539027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in NJ · RS004425
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 RS2800325300 (NJ)
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
167 BERGEN ST, Newark, NJ 07103

Other Names 1

Doing Business AsPathmark Pharmacy

Other Identifiers 3

Medicare NSC0636000149NJ
Medicaid4418301NJ
Other3131656Other Id Number-commercial Number

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.

Pharmacist
167 BERGEN ST
NEWARK, NJ 07103
Pharmacist
167 BERGEN ST
NEWARK, NJ 07103

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 1265539027. 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 167 Bergen St, Newark, NJ 07103. The listed phone number is (973) 242-2838.

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 December 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.