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PATHMARK PHARMACY
NPI 1871690636
Pharmacy in Brooklyn, NY

Active since September 20, 2006
625 ATLANTIC AVE, BROOKLYN, NY 11217(718) 399-6239(718) 399-6392 Get Directions Write a Review

NPPES record last updated: October 5, 2010. 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 1871690636) is a healthcare organization registered as a pharmacy in Brooklyn, 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

NPI1871690636
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NamePATHMARK STORES INC
Location Address625 ATLANTIC AVEBrooklyn, NY 11217-2169
Mailing Address2 Paragon DrMontvale, NJ 07645-1718 · (201) 573-9700 · Fax (201) 571-8335
Phone(718) 399-6239
Fax(718) 399-6392
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 1871690636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in NY · 023069
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 023069 (NY)
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
625 ATLANTIC AVE, Brooklyn, NY 11217
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Other Names 1

Doing Business AsPathmark Pharmacy

Other Identifiers 3

Medicare NSC0636000182NY
Other3315985Other Id Number-commercial Number
Medicaid01688568NY

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.

DR. NWANNEKA C UDENTA O.D.
Optometrist
625 ATLANTIC AVE
BROOKLYN, NY 11217
Kings County (718) 694-0076
RAMONA LUKNAUTH
Pharmacist
625 ATLANTIC AVE
BROOKLYN, NY 11217
Kings County (718) 399-6239
STOP & SHOP SUPERMARKET COMPANY, LLC
Pharmacy (Community/Retail Pharmacy)
625 ATLANTIC AVE
BROOKLYN, NY 11217
Kings County (718) 399-6239

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 1871690636. 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 625 Atlantic Ave, Brooklyn, NY 11217. The listed phone number is (718) 399-6239.

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 with the weekly NPPES data releases published by CMS.