PATHMARK PHARMACY
NPI 1881791648
Pharmacy in Staten Island, NY

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

The NPI number for Pathmark Stores Inc is 1881791648. It was assigned to this organization in the NPPES registry on September 20, 2006. The provider is doing business as Pathmark Pharmacy.

Q: What is Pathmark Stores Inc's specialty?

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

Active since September 20, 2006

1351 FOREST AVE, STATEN ISLAND, NY 10302(718) 448-6758(718) 981-0540 Get Directions Write a Review

NPPES record last updated: March 12, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Pathmark Pharmacy NPPES

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

PATHMARK PHARMACY (NPI 1881791648) is a healthcare organization registered as a pharmacy in Staten Island, New York and active in the NPI registry since September 2006. The organization lists Susan D Kijowski, Pharmacy Specialist, as its authorized official.

NPPES Registry Identity

NPI1881791648

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NamePATHMARK STORES INC

Location Address1351 FOREST AVEStaten Island, NY 10302-2027

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

Phone(718) 448-6758

Fax(718) 981-0540

Organization SubpartYesParent: The Great Atlantic & Pacific Tea Co Inc

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

Enumeration DateSeptember 20, 2006

Last NPPES UpdateMarch 12, 2009

✔ NPI 1881791648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in NY · 013354

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 013354 (NY)

Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X

1351 FOREST AVE, Staten Island, NY 10302

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Other Names 1

Doing Business AsPathmark Pharmacy

Other Identifiers 3

Other3313981Other Id Number-commercial Number

Medicaid00264764NY

Medicare NSC0636000065NY

Other Providers at the Same Location NPPES 19

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

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