Organization · Type 2 NPI

Pathmark Stores Inc

Pharmacy · New York, NY

NPI number 1255438016 Active

Practice location

160 E 125th St
New York, NY 10035-1747

Call (212) 722-9156 Map

Fax (212) 722-9115

Mailing address

2 Paragon Dr
Montvale, NJ 07645-1718

Specialties and licenses

Taxonomy	Code	License
Pharmacy Primary	333600000X	023710 (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…

3 other providers at this address

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NPI record

NPI: 1255438016
Entity type: Organization (Type 2)
Issued: Sep 20, 2006
Last updated: Sep 1, 2010
Status: Active
Subpart: Yes of The Great Atlantic & Pacific Tea Company, Inc.

Other names

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Pathmark Pharmacy · doing business as

Authorized official

Susan D Kijowski
Reg Compliance 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 1255438016

Pathmark Stores Inc's National Provider Identifier is 1255438016, issued on Sep 20, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in New York, NY. The record was last updated on Sep 1, 2010.