Pathmark Stores Inc

Pharmacy · Beverly, NJ

Organization Active NPI

NPI number 1285733253

Practice location

2110 RT 130
Beverly, NJ 08010
Phone
(609) 871-1550
Fax
(609) 877-7719

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NPI record

NPI
1285733253
Entity type
Organization (Type 2)
Enumeration date
September 22, 2006
Last updated
September 29, 2008
Organization subpart
Yes
Parent organization
The Great Atlantic & Pacific Tea Co Inc

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacy Primary 333600000X RS02202 NJ
Community/Retail Pharmacy 3336C0003X — —

Mailing address

2 Paragon Dr
Montvale, NJ 07645-1718
Phone
(201) 573-9700

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 2110 RT 130, Beverly, NJ 08010. The NPI number 1285733253 was assigned on September 22, 2006 and the record was last updated on September 29, 2008.

Pathmark Stores Inc lists a license in the registry: #RS02202 (NJ) for Pharmacy. 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 1285733253.

What is the phone number of Pathmark Stores Inc?

The phone number listed for the practice location is (609) 871-1550.

Where is Pathmark Stores Inc located?

2110 RT 130, Beverly, NJ 08010.

What is the taxonomy code for Pathmark Stores Inc?

The primary taxonomy code is 333600000X – Pharmacy; 1 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.