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PATHMARK PHARMACY
NPI 1780781542
Pharmacy in Patchogue, NY

Active since September 20, 2006
399 MEDFORD AVE, PATCHOGUE, NY 11772(631) 758-2154(631) 758-3473 Get Directions Write a Review

NPPES record last updated: October 8, 2010. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Pathmark Pharmacy NPPES

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

PATHMARK PHARMACY (NPI 1780781542) is a healthcare organization registered as a pharmacy in Patchogue, 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

NPI1780781542
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NamePATHMARK STORES INC
Location Address399 MEDFORD AVEPatchogue, NY 11772-1849
Mailing Address2 Paragon DrMontvale, NJ 07645-1718 · (201) 573-9700 · Fax (201) 571-8335
Phone(631) 758-2154
Fax(631) 758-3473
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 8, 2010
✔ NPI 1780781542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in NY · 023215
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 023215 (NY)
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
399 MEDFORD AVE, Patchogue, NY 11772
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Other Names 1

Doing Business AsPathmark Pharmacy

Other Identifiers 3

Medicaid01742832NY
Other3319159Other Id Number-commercial Number
Medicare NSC0636000040NY

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 1780781542. 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 399 Medford Ave, Patchogue, NY 11772. The listed phone number is (631) 758-2154.

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 8, 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.