PATHMARK PHARMACY
NPI 1649377409
Pharmacy in Perth Amboy, NJ

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

The NPI number for Pathmark Stores Inc is 1649377409. 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

95-101 NEW BRUNSWICK AVE, PERTH AMBOY, NJ 08861(732) 826-0600(732) 826-8516 Get Directions Write a Review

NPPES record last updated: October 5, 2010. Verified against the NPPES registry weekly; last sync: August 23, 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 1649377409) is a healthcare organization registered as a pharmacy in Perth Amboy, New Jersey 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

NPI1649377409

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NamePATHMARK STORES INC

Location Address95-101 NEW BRUNSWICK AVEPerth Amboy, NJ 08861-2294

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

Phone(732) 826-0600

Fax(732) 826-8516

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 5, 2010

✔ NPI 1649377409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in NJ · RS001200

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 28RS00120000 (NJ)

Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X

95-101 NEW BRUNSWICK AVE, Perth Amboy, NJ 08861

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Other Names 1

Doing Business AsPathmark Pharmacy

Other Identifiers 3

Other3102946Other Id Number-commercial Number

Medicare NSC0636000110NJ

Medicaid4261101NJ

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 1649377409. 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 95-101 New Brunswick Ave, Perth Amboy, NJ 08861. The listed phone number is (732) 826-0600.

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 5, 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.