Pathmark Stores Inc

Pharmacy · Patchogue, NY

Organization Active NPI

NPI number 1780781542

Practice location

399 Medford Ave
Patchogue, NY 11772-1849
Phone
(631) 758-2154
Fax
(631) 758-3473

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NPI record

NPI
1780781542
Entity type
Organization (Type 2)
Enumeration date
September 20, 2006
Last updated
October 8, 2010
Organization subpart
Yes
Parent organization
The Great Atlantic & Pacific Tea Co., Inc.

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacy Primary 333600000X 023215 NY
Durable Medical Equipment & Medical Supplies 332B00000X 023215 NY
Community/Retail Pharmacy 3336C0003X — —

Mailing address

2 Paragon Dr
Montvale, NJ 07645-1718
Phone
(201) 573-9700
Fax
(201) 571-8335

Authorized official

Name
Susan D Kijowski
Title
Regulatory Compliance 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 399 Medford Ave, Patchogue, NY 11772-1849. The NPI number 1780781542 was assigned on September 20, 2006 and the record was last updated on October 8, 2010.

Pathmark Stores Inc lists 2 licenses in the registry: #023215 (NY) for Pharmacy; #023215 (NY) 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, Regulatory Compliance Specialist.

Frequently asked questions

What is the NPI number of Pathmark Stores Inc?

The NPI number is 1780781542.

What is the phone number of Pathmark Stores Inc?

The phone number listed for the practice location is (631) 758-2154.

Where is Pathmark Stores Inc located?

399 Medford Ave, Patchogue, NY 11772-1849.

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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