Organization · Type 2 NPI

Pathmark Stores Inc

Pharmacy · Staten Island, NY

NPI number 1508963372 Active

Practice location

2730 Arthur Kill Rd
Staten Island, NY 10309-1135

Call (718) 984-8172 Map

Fax (718) 984-9434

Mailing address

2 Paragon Dr
Montvale, NJ 07645-1718

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	024973 (NY)
Pharmacy Primary	333600000X	024973 (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 Staten Island

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NPI record

NPI: 1508963372
Entity type: Organization (Type 2)
Issued: Sep 20, 2006
Last updated: Oct 15, 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
Regulatory 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 1508963372

Pathmark Stores Inc's National Provider Identifier is 1508963372, issued on Sep 20, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Staten Island, NY. The record was last updated on Oct 15, 2010.