Organization · Type 2 NPI

Pathmark Stores Inc

Pharmacy · New Hyde Park, NY

NPI number 1023118064 Active

Practice location

2335 New Hyde Park Rd
New Hyde Park, NY 11042

Call (516) 352-1111 Map

Fax (516) 354-5831

Mailing address

2 Paragon Dr
Montvale, NJ 07645-1718

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	013587 (NY)
Pharmacy Primary	333600000X	013587 (NY)
Community/Retail Pharmacy	3336C0003X	None listed

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

Another provider at this address

Fred E. WassermanPharmacist New Hyde Park, NY NPI 1497923502

Other pharmacy providers in New Hyde Park

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NPI record

NPI: 1023118064
Entity type: Organization (Type 2)
Issued: Sep 22, 2006
Last updated: Mar 20, 2009
Status: Active
Subpart: Yes of The Great Atlantic & Pacific Tea Co

Other names

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Pathmark Pharmacy · doing business as

Authorized official

Susan D Kijowski
Pharmacy Specialist
(201) 571-8326

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1023118064

Pathmark Stores Inc's National Provider Identifier is 1023118064, issued on Sep 22, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in New Hyde Park, NY. The record was last updated on Mar 20, 2009.