Pathmark Stores Inc
Pharmacy · Paterson, NJ
Practice location
498 E 30TH StPaterson, NJ 07504-2133
- Phone
- (973) 278-9339
- Fax
- (973) 278-0199
NPI record
- NPI
- 1174620934
- Entity type
- Organization (Type 2)
- Enumeration date
- September 20, 2006
- Last updated
- December 10, 2008
- Organization subpart
- Yes
- Parent organization
- The Great Atlantic & Pacific Tea Co
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X |
RS004557 | 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
- (201) 571-8335
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 498 E 30TH St, Paterson, NJ 07504-2133. The NPI number 1174620934 was assigned on September 20, 2006 and the record was last updated on December 10, 2008.
Pathmark Stores Inc lists 2 licenses in the registry: #RS004557 (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 1174620934.
What is the phone number of Pathmark Stores Inc?
The phone number listed for the practice location is (973) 278-9339.
Where is Pathmark Stores Inc located?
498 E 30TH St, Paterson, NJ 07504-2133.
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.
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