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PATHMARK PHARMACY
NPI 1679670442
Pharmacy in Philadelphia, PA

Active since September 20, 2006
330 W OREGON AVE, PHILADELPHIA, PA 19148(215) 462-3450(215) 462-4831 Get Directions Write a Review

NPPES record last updated: June 27, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Pathmark Pharmacy NPPES

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

PATHMARK PHARMACY (NPI 1679670442) is a healthcare organization registered as a pharmacy in Philadelphia, Pennsylvania and active in the NPI registry since September 2006. The organization lists Susan D Kijowski, Pharmacy Specialist, as its authorized official.

NPPES Registry Identity

NPI1679670442
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NamePATHMARK STORES INC
Location Address330 W OREGON AVEPhiladelphia, PA 19148-4723
Mailing Address2 Paragon DrMontvale, NJ 07645-1718 · (201) 573-9700 · Fax (201) 571-8335
Phone(215) 462-3450
Fax(215) 462-4831
Organization SubpartYesParent: The Great Atlantic & Pacific Tea Co Inc
Authorized OfficialSusan D KijowskiPharmacy Specialist · (201) 571-8326
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJune 27, 2008
✔ NPI 1679670442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in PA · PP412259L
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 PP412259L (PA)
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
330 W OREGON AVE, Philadelphia, PA 19148
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Other Names 1

Doing Business AsPathmark Pharmacy

Other Identifiers 3

Medicaid0017374600014PA
Other3941627Other Id Number-commercial Number
Medicare NSC0636000080PA

Other Providers at the Same Location NPPES 4

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

DR. ALBERT FONTICOBA OD
Optometrist
330 W OREGON AVE
PHILADELPHIA, PA 19148
Philadelphia County (215) 463-5889
EYES AND SPECS LLC
Clinic/Center (Ophthalmologic Surgery)
330 W OREGON AVE
PHILA, PA 19148
Philadelphia County (215) 463-5889
MARNI ELYSE FARAHI DMD, MS
Dentist (Orthodontics and Dentofacial Orthopedics)
330 W OREGON AVE
PHILADELPHIA, PA 19148
Philadelphia County (727) 608-8798
IMG OPTICAL
Durable Medical Equipment & Medical Supplies (Parenteral & Enteral Nutrition)
330 W OREGON AVE
PHILADELPHIA, PA 19148
Philadelphia County (717) 254-5507

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 1679670442. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Pathmark Stores Inc located?

Pathmark Stores Inc is located at 330 W Oregon Ave, Philadelphia, PA 19148. The listed phone number is (215) 462-3450.

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 June 27, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.