Pathmark Stores Inc
Pharmacy · Randolph, NJ
Practice location
Kmart Plaza Us RT 10Randolph, NJ 07869
- Phone
- (973) 361-7532
- Fax
- (973) 366-5232
NPI record
- NPI
- 1134220502
- Entity type
- Organization (Type 2)
- Enumeration date
- September 26, 2006
- Last updated
- December 11, 2008
- Organization subpart
- Yes
- Parent organization
- The Great Atlantic & Pacific Tea Co
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X |
RS002204 | NJ |
| Durable Medical Equipment & Medical Supplies | 332B00000X |
RS2800325300 | NJ |
| Community/Retail Pharmacy | 3336C0003X |
— | — |
Mailing address
2 Paragon DrMontvale, NJ 07645-1718
- Phone
- (201) 573-9700
- Fax
- (291) 571-8326
Authorized official
- Name
- Susan D Kijowski
- Title
- Pharmacy Specialist
- Phone
- (201) 571-8326
Other names
- Pathmark Pharmacy
About Pathmark Stores Inc
Pathmark Stores Inc is a healthcare organization registered in the NPI registry with the primary taxonomy Pharmacy (code 333600000X). The practice location is Kmart Plaza Us RT 10, Randolph, NJ 07869. The NPI number 1134220502 was assigned on September 26, 2006 and the record was last updated on December 11, 2008.
Pathmark Stores Inc lists 2 licenses in the registry: #RS002204 (NJ) for Pharmacy; #RS2800325300 (NJ) for Durable Medical Equipment & Medical Supplies. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Susan D Kijowski, Pharmacy Specialist.
Frequently asked questions
What is the NPI number of Pathmark Stores Inc?
The NPI number is 1134220502.
What is the phone number of Pathmark Stores Inc?
The phone number listed for the practice location is (973) 361-7532.
Where is Pathmark Stores Inc located?
Kmart Plaza Us RT 10, Randolph, NJ 07869.
What is the taxonomy code for Pathmark Stores Inc?
The primary taxonomy code is 333600000X – Pharmacy; 2 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Pharmacy providers in Randolph
- Jre Ave Maria LLC124 Route 10
- New Jersey CVS Pharmacy LLC725 State Route 10
- Freedom Pharmacy1248 Sussex Turnpike
- Great Atlantic & Pacific Tea Company Inc148 Center Grove Rd