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PATHMARK PHARMACY
NPI 1356366900
Pharmacy in Boothwyn, PA

Active since July 13, 2006
643 CONCHESTER HWY, BOOTHWYN, PA 19061(610) 859-8930(610) 859-0166 Get Directions Write a Review

NPPES record last updated: May 24, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pathmark Pharmacy NPPES

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

PATHMARK PHARMACY (NPI 1356366900) is a healthcare organization registered as a pharmacy in Boothwyn, Pennsylvania and active in the NPI registry since July 2006. The organization lists Susan Kijowski, Pharmacy Specialist, as its authorized official.

NPPES Registry Identity

NPI1356366900
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameSUPER FRESH FOOD MARKETS INC
Location Address643 CONCHESTER HWYBoothwyn, PA 19061-3147
Mailing Address643 Conchester HwyBoothwyn, PA 19061-3147
Phone(610) 859-8930
Fax(610) 859-0166
Organization SubpartYesParent: The Great Atlantic And Pacific Tea Company Inc
Authorized OfficialSusan KijowskiPharmacy Specialist · (201) 571-8326
Enumeration DateJuly 13, 2006
Last NPPES UpdateMay 24, 2009
✔ NPI 1356366900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in PA · PP414956L
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 PP414956L (PA)
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
643 CONCHESTER HWY, Boothwyn, PA 19061
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Other Names 1

Doing Business AsPathmark Pharmacy

Other Identifiers 3

Medicare NSC0813370008PA
Medicaid1007725100021PA
Other3968976Other Id Number-commercial Number

Other Providers at the Same Location NPPES 3

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

LISA ANN NOONE
Pharmacist
643 CONCHESTER HWY
BOOTHWYN, PA 19061
Delaware County (610) 859-8930
STEPHANIE LYNNE DANGELANTONIO PHARM.D
Pharmacist
643 CONCHESTER HWY
BOOTHWYN, PA 19061
Delaware County (610) 859-0038
ACME MARKETS INC
Pharmacy (Community/Retail Pharmacy)
643 CONCHESTER HWY
BOOTHWYN, PA 19061
Delaware County (610) 859-8930

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 Super Fresh Food Markets Inc's NPI number?

The NPI number for Super Fresh Food Markets Inc is 1356366900. It was assigned to this organization in the NPPES registry on July 13, 2006. The provider is doing business as Pathmark Pharmacy.

Where is Super Fresh Food Markets Inc located?

Super Fresh Food Markets Inc is located at 643 Conchester Hwy, Boothwyn, PA 19061. The listed phone number is (610) 859-8930.

What is Super Fresh Food Markets 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 Super Fresh Food Markets Inc was last updated on May 24, 2009. 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.