1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. Pharmacy
  6. NPI Profile

PATHMARK PHARMACY
NPI 1760589535
Pharmacy in Philadelphia, PA

Active since September 20, 2006
4160 MONUMENT RD, PHILADELPHIA, PA 19131(215) 879-8830(215) 879-7466 Get Directions Write a Review

NPPES record last updated: June 27, 2008. 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 1760589535) 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

NPI1760589535
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NamePATHMARK STORES INC
Location Address4160 MONUMENT RDPhiladelphia, PA 19131-1726
Mailing Address2 Paragon DrMontvale, NJ 07645-1718 · (201) 573-9700 · Fax (201) 571-8335
Phone(215) 879-8830
Fax(215) 879-7466
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 1760589535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in PA · PP411819L
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 PP411819L (PA)
4160 MONUMENT RD, Philadelphia, PA 19131
Open in Google Maps ↗

Other Names 1

Doing Business AsPathmark Pharmacy

Other Identifiers 3

Medicaid0017374600013PA
Medicare NSC0636000076PA
Other3939595Other Id Number-commercial Number

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.

VERNIKA NEAL PHARMD
Pharmacist
4160 MONUMENT RD
PHILADELPHIA, PA 19131
Philadelphia County (215) 879-8831
MR. ALAN M YOUNG RPH
Pharmacist
4160 MONUMENT RD
PHILADELPHIA, PA 19131
Philadelphia County (215) 879-8830
AHR PHARMA INC
Pharmacy
4160 MONUMENT RD
PHILADELPHIA, PA 19131
Philadelphia County (215) 279-9151

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 1760589535. 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 4160 Monument Rd, Philadelphia, PA 19131. The listed phone number is (215) 879-8830.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.