PATHMARK PHARMACY
NPI 1477650232
Pharmacy in Elizabeth, NJ

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

The NPI number for Pathmark Stores Inc is 1477650232. 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

211 ELMORA AVE, ELIZABETH, NJ 07202(908) 289-7711(908) 351-1449 Get Directions Write a Review

NPPES record last updated: December 11, 2008. Verified against the NPPES registry weekly; last sync: August 16, 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 1477650232) is a healthcare organization registered as a pharmacy in Elizabeth, 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

NPI1477650232

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NamePATHMARK STORES INC

Location Address211 ELMORA AVEElizabeth, NJ 07202-1105

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

Phone(908) 289-7711

Fax(908) 351-1449

Organization SubpartYesParent: The Great Atlantic & Pacific Tea Co

Authorized OfficialSusan D KijowskiPharmacy Specialist · (201) 571-8326

Enumeration DateSeptember 20, 2006

Last NPPES UpdateDecember 11, 2008

✔ NPI 1477650232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in NJ · RS002207

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

211 ELMORA AVE, Elizabeth, NJ 07202

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Other Names 1

Doing Business AsPathmark Pharmacy

Other Identifiers 3

Medicaid4260601NJ

Other3102819Other Id Number-commercial Number

Medicare NSC0636000141NJ

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.

MITCHELL J GRYGO R.PH.

Pharmacist

211 ELMORA AVE
ELIZABETH, NJ 07202

Union County (908) 289-7711

MR. ROBERT ELLIOTT RPH

Pharmacist

211 ELMORA AVE
ELIZABETH, NJ 07202

Union County (908) 289-7711

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 1477650232. 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 211 Elmora Ave, Elizabeth, NJ 07202. The listed phone number is (908) 289-7711.

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 11, 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.