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PATHMARK PHARMACY
NPI 1609973460
Pharmacy in Greenvale, NY

Active since September 20, 2006
130 WHEATLEY PLZ, GREENVALE, NY 11548(516) 484-1414(516) 484-1371 Get Directions Write a Review

NPPES record last updated: April 11, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pathmark Pharmacy NPPES

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

PATHMARK PHARMACY (NPI 1609973460) is a healthcare organization registered as a pharmacy in Greenvale, New York and active in the NPI registry since September 2006. The organization lists Susan D Kijowski, Reg Compliance Specialist, as its authorized official.

NPPES Registry Identity

NPI1609973460
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NamePATHMARK STORES INC
Location Address130 WHEATLEY PLZGreenvale, NY 11548-1316
Mailing Address2 Paragon DrMontvale, NJ 07645-1718 · (201) 573-9700 · Fax (201) 571-8335
Phone(516) 484-1414
Fax(516) 484-1371
Organization SubpartYesParent: The Great Atlantic And Pacific Tea Company, Inc.
Authorized OfficialSusan D KijowskiReg Compliance Specialist · (201) 571-8326
Enumeration DateSeptember 20, 2006
Last NPPES UpdateApril 11, 2011
✔ NPI 1609973460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in NY · 013582
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 013582 (NY)
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
130 WHEATLEY PLZ, Greenvale, NY 11548
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Other Names 1

Doing Business AsPathmark Pharmacy

Other Identifiers 3

Medicare NSC0636000032NY
Other3313878Other Id Number-commercial Number
Medicaid00383335NY

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.

DINA M FARAG RPH
Pharmacist
130 WHEATLEY PLZ
GREENVALE, NY 11548
Nassau County (516) 484-1414
ESTHER YOON RPH
Pharmacist
130 WHEATLEY PLZ
GREENVALE, NY 11548
Nassau County (516) 484-1414
STOP & SHOP SUPERMARKET COMPANY, LLC
Pharmacy (Community/Retail Pharmacy)
130 WHEATLEY PLZ
GREENVALE, NY 11548
Nassau County (516) 484-1414

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 1609973460. 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 130 Wheatley Plz, Greenvale, NY 11548. The listed phone number is (516) 484-1414.

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 April 11, 2011. 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.