Pathmark Stores Inc

Pharmacy · Avenel, NJ

Organization Active NPI

NPI number 1811094675

Practice location

1600 Saint Georges Ave
Avenel, NJ 07001-1044
Phone
(732) 499-7904
Fax
(732) 943-1479

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NPI record

NPI
1811094675
Entity type
Organization (Type 2)
Enumeration date
September 20, 2006
Last updated
October 11, 2013
Organization subpart
Yes
Parent organization
The Great Atlantic & Pacific Tea Company

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacy Primary 333600000X 28RS00293600 NJ
Durable Medical Equipment & Medical Supplies 332B00000X RS28002936 NJ
Community/Retail Pharmacy 3336C0003X — —

Mailing address

PO Box 416369
Boston, MA 02241-6369
Phone
(201) 571-8326
Fax
(201) 571-8335

Authorized official

Name
Susan D Kijowski
Title
Manager, Regulatory Compliance
Phone
(201) 571-8326

Other names

  • Pathmark Pharmacy #580

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 1600 Saint Georges Ave, Avenel, NJ 07001-1044. The NPI number 1811094675 was assigned on September 20, 2006 and the record was last updated on October 11, 2013.

Pathmark Stores Inc lists 2 licenses in the registry: #28RS00293600 (NJ) for Pharmacy; #RS28002936 (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, Manager, Regulatory Compliance.

Frequently asked questions

What is the NPI number of Pathmark Stores Inc?

The NPI number is 1811094675.

What is the phone number of Pathmark Stores Inc?

The phone number listed for the practice location is (732) 499-7904.

Where is Pathmark Stores Inc located?

1600 Saint Georges Ave, Avenel, NJ 07001-1044.

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.