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PATHMARK PHARMACY
NPI 1992802755
Pharmacy in Wall Township, NJ

Active since September 20, 2006
1933 STATE ROUTE 35, WALL TOWNSHIP, NJ 07719(732) 449-8070(732) 974-2734 Get Directions Write a Review

NPPES record last updated: January 22, 2009. 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 1992802755) is a healthcare organization registered as a pharmacy in Wall Township, New Jersey and active in the NPI registry since September 2006. The organization lists Susan D Kijowski, Pharmacy Specialist, as its authorized official.

NPPES Registry Identity

NPI1992802755
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NamePATHMARK STORES INC
Location Address1933 STATE ROUTE 35Wall Township, NJ 07719-3502
Mailing Address2 Paragon DrMontvale, NJ 07645-1718 · (201) 571-8326 · Fax (201) 573-9700
Phone(732) 449-8070
Fax(732) 974-2734
Organization SubpartYesParent: The Great Atlantic & Pacific Tea Company
Authorized OfficialSusan D KijowskiPharmacy Specialist · (201) 571-8326
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJanuary 22, 2009
✔ NPI 1992802755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in NJ · RS003959
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 RS28003959 (NJ)
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
1933 STATE ROUTE 35, Wall Township, NJ 07719
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Other Names 1

Doing Business AsPathmark Pharmacy

Other Identifiers 3

Other3128560Other Id Number-commercial Number
Medicaid4384300NJ
Medicare NSC0636000124NJ

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.

MOSAIC PHYSICAL MEDICINE AND REHABILITATION
Physical Medicine & Rehabilitation
1933 STATE ROUTE 35, SUITE 105-286
WALL TOWNSHIP, NJ 07719
Monmouth County (609) 992-6414
DR. JENNIFER THERESA SCHEICK M.D.
Physical Medicine & Rehabilitation
1933 STATE ROUTE 35, SUITE 105-286
WALL TOWNSHIP, NJ 07719
Monmouth County (609) 992-6414
DIANE MASTROLY
Technician/Technologist (Optician)
1933 STATE ROUTE 35, SUITE 120
WALL TOWNSHIP, NJ 07719
Monmouth County (732) 449-9503

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 1992802755. 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 1933 State Route 35, Wall Township, NJ 07719. The listed phone number is (732) 449-8070.

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 January 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.