Organization · Type 2 NPI

Pathmark Stores Inc

Pharmacy · Yonkers, NY

NPI number 1649370685 Active

Practice location

2540 Central Park Ave
Yonkers, NY 10710-1112

Call (914) 779-1024 Map

Fax (914) 793-1324

Mailing address

2 Paragon Dr
Montvale, NJ 07645-1718

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	018501 (NY)
Pharmacy Primary	333600000X	018501 (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 Yonkers

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NPI record

NPI: 1649370685
Entity type: Organization (Type 2)
Issued: Sep 22, 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 1649370685

Pathmark Stores Inc's National Provider Identifier is 1649370685, issued on Sep 22, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Yonkers, NY. The record was last updated on Apr 11, 2011.