PATHMARK PHARMACY # 171
NPI 1861623407
Pharmacy in Staten Island, NY

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

The NPI number for Pathmark Stores, Inc. is 1861623407. It was assigned to this organization in the NPPES registry on July 30, 2009. The provider is doing business as Pathmark Pharmacy # 171.

Q: What is Pathmark Stores, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Active since July 30, 2009

2660 HYLAN BLVD, STATEN ISLAND, NY 10306(718) 668-2972(718) 668-2974 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Pathmark Pharmacy # 171 NPPES

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

PATHMARK PHARMACY # 171 (NPI 1861623407) is a healthcare organization registered as a pharmacy in Staten Island, New York and active in the NPI registry since July 2009. The organization lists Susan D Kijowski, Pharmacy Specialist, as its authorized official.

NPPES Registry Identity

NPI1861623407

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NamePATHMARK STORES, INC.

Location Address2660 HYLAN BLVDStaten Island, NY 10306-4355

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

Phone(718) 668-2972

Fax(718) 668-2974

Organization SubpartYesParent: The Great Atlantic & Pacific Tea Co., Inc.

Authorized OfficialSusan D KijowskiPharmacy Specialist · (201) 571-8326

Enumeration DateJuly 30, 2009

Last NPPES UpdateMarch 7, 2023

✔ NPI 1861623407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in NY · 029643

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 029643 (NY)

2660 HYLAN BLVD, Staten Island, NY 10306

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Other Names 1

Doing Business AsPathmark Pharmacy # 171

Other Identifiers 1

Other029643NY · State License

Other Providers at the Same Location NPPES 8

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

PATHMARK STORES INC

Pharmacy