Organization · Type 2 NPI

Pathmark Stores Inc

Pharmacy · Greenvale, NY

NPI number 1609973460 Active

Practice location

130 Wheatley Plz
Greenvale, NY 11548-1316

Call (516) 484-1414 Map

Fax (516) 484-1371

Mailing address

2 Paragon Dr
Montvale, NJ 07645-1718

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	013582 (NY)
Pharmacy Primary	333600000X	013582 (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

NPI record

NPI: 1609973460
Entity type: Organization (Type 2)
Issued: Sep 20, 2006
Last updated: Apr 11, 2011
Status: Active
Subpart: Yes of The Great Atlantic and 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 1609973460

Pathmark Stores Inc's National Provider Identifier is 1609973460, issued on Sep 20, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Greenvale, NY. The record was last updated on Apr 11, 2011.