PATHMARK STORES INC NPI 1770684144

NPI Information

  • NPI: 1770684144
  • Provider Name: PATHMARK STORES INC
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Doing Business As: PATHMARK PHARMACY
  • Address: 195 ROCKLAND CTR
    NANUET, NY
    ZIP 10954
  • Phone: (845) 623-6220

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NPI Details

PATHMARK STORES INC is a pharmacy in Nanuet, 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 1770684144. The provider is registered as an organization entity type.
The provider Is Doing Business As Pathmark Pharmacy.

The provider's business location address is:

195 ROCKLAND CTR
NANUET, NY
ZIP 10954-956
Phone: (845) 623-6220
Fax: (845) 627-1947

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

The enumeration date for this NPI number is 9/26/2006 and was last updated on 11/8/2011.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyNo
2333600000XPharmacy015990NEW 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100513075MEDICAIDNEW YORK
23364572OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

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: 11/21/2025

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