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PATHMARK PHARMACY
NPI 1962509737
Pharmacy in Port Jefferson Station, NY

Active since September 20, 2006
5145 NESCONSET HWY, PORT JEFFERSON STATION, NY 11776(631) 331-2210(631) 473-3291 Get Directions Write a Review

NPPES record last updated: August 16, 2013. 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 1962509737) is a healthcare organization registered as a pharmacy in Port Jefferson Station, New York and active in the NPI registry since September 2006. The organization lists Susan D Kijowski, Manager, Regulatory Compliance, as its authorized official.

NPPES Registry Identity

NPI1962509737
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NamePATHMARK STORES INC
Location Address5145 NESCONSET HWYPort Jefferson Station, NY 11776-2047
Mailing AddressPo Box 416369Boston, MA 02241-6369 · (201) 571-4568 · Fax (201) 571-8335
Phone(631) 331-2210
Fax(631) 473-3291
Organization SubpartYesParent: Great Atlantic & Pacific Tea Co., Inc, The.
Authorized OfficialSusan D KijowskiManager, Regulatory Compliance · (201) 571-8326
Enumeration DateSeptember 20, 2006
Last NPPES UpdateAugust 16, 2013
✔ NPI 1962509737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in NY · 016040
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 016040 (NY)
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
5145 NESCONSET HWY, Port Jefferson Station, NY 11776
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Other Names 1

Doing Business AsPathmark Pharmacy

Other Identifiers 3

Medicare NSC0636000052NY
Medicaid00490111NY
Other3364229Other 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.

MRS. LISA VOLPE RPH
Pharmacist
5145 NESCONSET HWY
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 331-2210
CAITLIN MARY STROH PHARMD
Pharmacist
5145 NESCONSET HWY
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 331-2210
SABRINA ROBERTS PHARMD
Pharmacist
5145 NESCONSET HWY
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 331-2210

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 1962509737. 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 5145 Nesconset Hwy, Port Jefferson Station, NY 11776. The listed phone number is (631) 331-2210.

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 August 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.