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PATHMARK STORES INC. NPI 1134226905


NPI Information

NPI: 1134226905
Provider Name: PATHMARK STORES, INC.

Doing Business As: PATHMARK PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
237-239 CHERRY ST
NEW YORK, NY
ZIP 10002
Phone: (212) 227-3520
Get Directions

PATHMARK STORES, INC. is a pharmacy in New York, NY. The provider is 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 located. PATHMARK STORES, INC. NPI is 1134226905. The provider is registered as an organization entity type.
The provider Is Doing Business As Pathmark Pharmacy.

The provider's business location address is:

237-239 CHERRY ST
NEW YORK, NY
ZIP 10002-000
Phone: (212) 227-3520
Fax: (212) 393-1275

The provider's authorized official is Susan D Kijowski .
The authorized official title is Regulatory Compliance Specialist and has the following contact phone number (201) 571-8326.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 11/15/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies017977NEW YORKNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
3333600000XPharmacy017977NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10636000096MEDICARE NSCNEW YORK
23378141OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
300804980MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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