Organization · Type 2 NPI

Pathmark Stores Inc

Pharmacy · Bay Shore, NY

NPI number 1235236001 Active

Practice location

2060 Sunrise Hwy
Bay Shore, NY 11706-6018

Call (631) 666-5501 Map

Fax (631) 666-4680

Mailing address

2 Paragon Dr
Montvale, NJ 07645-1718

Specialties and licenses

Taxonomy	Code	License
Pharmacy Primary	333600000X	015200 (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…

2 other providers at this address

Other pharmacy providers in Bay Shore

See all in Bay Shore →

NPI record

NPI: 1235236001
Entity type: Organization (Type 2)
Issued: Sep 20, 2006
Last updated: Aug 18, 2010
Status: Active
Subpart: Yes of The Great Atlantic & Pacific Tea Co., Inc.

Other names

<unavail>
Pathmark Pharmacy · doing business as

Authorized official

Susan D Kijowski
Reg Compliance Specialist
(201) 571-8326

Verify this record

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.

Is this your record? How to update it.

About NPI 1235236001

Pathmark Stores Inc's National Provider Identifier is 1235236001, issued on Sep 20, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Bay Shore, NY. The record was last updated on Aug 18, 2010.