PATHMARK PHARMACY
NPI 1316044183
Pharmacy in Shirley, NY

Q: What is Pathmark Stores Inc's NPI number?

The NPI number for Pathmark Stores Inc is 1316044183. It was assigned to this organization in the NPPES registry on September 20, 2006. The provider is doing business as Pathmark Pharmacy.

Q: What is Pathmark Stores Inc's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Active since September 20, 2006

800 MONTAUK HWY, SHIRLEY, NY 11967(631) 399-5252(631) 399-5320 Get Directions Write a Review

NPPES record last updated: October 8, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Pathmark Pharmacy NPPES

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

PATHMARK PHARMACY (NPI 1316044183) is a healthcare organization registered as a pharmacy in Shirley, 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

NPI1316044183

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NamePATHMARK STORES INC

Location Address800 MONTAUK HWYShirley, NY 11967-2128

Mailing Address2 Paragon DrMontvale, NJ 07645-1718 · (201) 573-9700 · Fax (201) 571-8335

Phone(631) 399-5252

Fax(631) 399-5320

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 1316044183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in NY · 017190

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 034086 (NY)

Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X

800 MONTAUK HWY, Shirley, NY 11967

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Other Names 1

Doing Business AsPathmark Pharmacy

Other Identifiers 3

Other3371933Other Id Number-commercial Number

Medicaid00612166NY

Medicare NSC0636000038NY

Other Providers at the Same Location NPPES 6

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

MR. IRA HAUER

Pharmacist

800 MONTAUK HWY
SHIRLEY, NY 11967

Suffolk County (631) 399-5252

ROBERT PATRICK FUREY R.PH.

Pharmacist

800 MONTAUK HWY
SHIRLEY, NY 11967

Suffolk County (631) 399-5252

PATRICK DOMINICK MCSTAY

Physical Therapist

800 MONTAUK HWY
SHIRLEY, NY 11967

Suffolk County (631) 347-1042

JASMINE THOMAS PHARMD

Pharmacist

800 MONTAUK HWY
SHIRLEY, NY 11967

Suffolk County (631) 399-5252

MR. FRANK JOSEPH POLLINA OPHTHALMIC DISPENSE

Technician/Technologist (Optician)

800 MONTAUK HWY, SUITE 13
SHIRLEY, NY 11967

Suffolk County (631) 399-2020

20-20 LAB INC.

Durable Medical Equipment & Medical Supplies

800 MONTAUK HWY, SUITE 13
SHIRLEY, NY 11967

Suffolk County (631) 399-0004

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 1316044183. 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 800 Montauk Hwy, Shirley, NY 11967. The listed phone number is (631) 399-5252.

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 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.