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PATHMARK PHARMACY
NPI 1487754420
Pharmacy in Bronx, NY

Active since September 22, 2006
961 EAST 174TH STREET, BRONX, NY 10460(718) 860-3363(718) 860-3439 Get Directions Write a Review

NPPES record last updated: October 15, 2010. 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 1487754420) is a healthcare organization registered as a pharmacy in Bronx, 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

NPI1487754420
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NamePATHMARK STORES INC
Location Address961 EAST 174TH STREETBronx, NY 10460
Mailing Address2 Paragon DrMontvale, NJ 07645-1718 · (201) 573-9700 · Fax (201) 571-8335
Phone(718) 860-3363
Fax(718) 860-3439
Organization SubpartYesParent: The Great Atlantic & Pacific Tea Company Inc
Authorized OfficialSusan D KijowskiRegulatory Compliance Specialist · (201) 571-8326
Enumeration DateSeptember 22, 2006
Last NPPES UpdateOctober 15, 2010
✔ NPI 1487754420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in NY · 026507
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 026507 (NY)
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
961 EAST 174TH STREET, Bronx, NY 10460
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Other Names 1

Doing Business AsPathmark Pharmacy

Other Identifiers 3

Medicare NSC0636000202NY
Other3336232Other Id Number-commercial Number
Medicaid02566970NY

Other Providers at the Same Location NPPES

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

DR. ROSE JOCELYN AMABLE DDS
Dentist (Pediatric Dentistry)
961 EAST 174TH STREET, SUITE B150
BRONX, NY 10460
Bronx County (718) 861-8060

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 1487754420. It was assigned to this organization in the NPPES registry on September 22, 2006. The provider is doing business as Pathmark Pharmacy.

Where is Pathmark Stores Inc located?

Pathmark Stores Inc is located at 961 East 174th Street, Bronx, NY 10460. The listed phone number is (718) 860-3363.

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 15, 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.