PATHMARK STORES INC (NPI# 1558461590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558461590 |
| Entity Type | Organization |
| Organization Name | PATHMARK STORES INC |
| Other Organization Name | PATHMARK PHARMACY |
| Practice Address |
100 Greaves Lane Staten Island NY 10308-2171 |
| Mailing Address |
2 Paragon Dr Montvale NJ 07645-1718 |
| Practice Telephone | 7182270667 |
| Practice Fax Number | 7182274551 |
| Mailing Telephone | 2015739700 |
| Mailing Fax Number | 2015718335 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2009-03-13 |
| Authorized Official Name | SUSAN D KIJOWSKI (PHARMACY SPECIALIST) |
| Authorized Official Telephone | 2015718326 |
| Is Organization Subpart | Y |
| Parent Organization Name | THE GREAT ATLANTIC & PACIFIC TEA COMPANY, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 019261 | NY | Suppliers |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 019261 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3388469 | 01 | |
| NY | 00986190 | 05 |
| Other Name | Type Code |
|---|---|
| PATHMARK PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770684144 | Pathmark Stores Inc | Pharmacy | 195 Rockland Ctr, Nanuet, NY 10954-2956 | 2006-09-26 |
| 1134220502 | Pathmark Stores Inc | Durable Medical Equipment & Medical Supplies | Kmart Plaza Us Rt 10, Randolph, NJ 07869 | 2006-09-26 |
| 1043311418 | Pathmark Stores Inc | Pharmacy | Route 440 and Kellogg St, Jersey City, NJ 07305 | 2006-09-26 |
| 1548360589 | Pathmark Stores Inc | Pharmacy | 405 Rt 17, Hackensack, NJ 07601 | 2006-09-22 |
| 1285733253 | Pathmark Stores Inc | Pharmacy | 2110 Rt 130, Beverly, NJ 08010 | 2006-09-22 |
| 1407956436 | Pathmark Stores Inc | Durable Medical Equipment & Medical Supplies | 979 Church Rd, Cherry Hill, NJ 08002-1301 | 2006-09-22 |
| 1679673602 | Pathmark Stores Inc | Durable Medical Equipment & Medical Supplies | 759 Rt 15 South, Lake Hopatcong, NJ 07849 | 2006-09-22 |
| 1588764518 | Pathmark Stores Inc | Pharmacy | 35 Lackawanna Plaza, Montclair, NJ 07042 | 2006-09-22 |
| 1851491898 | Pathmark Stores Inc | Pharmacy | 10 Triangle 17 Plaza, Ramsey, NJ 07446 | 2006-09-22 |
| 1023118064 | Pathmark Stores Inc | Pharmacy | 2335 New Hyde Park Rd, New Hyde Park, NY 11042 | 2006-09-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Retail Food Store | PATHMARK STORES INC | 5145 NESCONSET HWY PORT JEFFERSON STA NY 11776 |
| Street Address |
100 GREAVES LANE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10308-2171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609410117 | Young Minds Early Enrichment | Early Intervention Provider Agency | 143 Wiman Avenue, Staten Island, NY 10308 | 2019-10-29 |
| 1346619483 | Babymedevac, Inc. | Ambulance | 150 L Greaves Lane, Suite 142, Staten Island, NY 10308 | 2015-09-18 |
| 1497179527 | Advanced Life Care Planning LLC | Home Health | 255 Katan Ave., Score Rehab, Staten Island, NY 10308 | 2014-02-10 |
| 1255777009 | Laura Marie De La Cruz | Specialist | 132 Sandalwood Dr, Staten Island, NY 10308 | 2013-05-21 |
| 1205179363 | Danielle Gorga | Registered Nurse | 68 Harbour Court, Staten Island, NY 10308 | 2013-03-27 |
| 1427307388 | Maria Madelyn Sylvester | Specialist | 4024 Amboy Road, Staten Island, NY 10308 | 2012-09-06 |
| 1679836241 | Concetta Maria Falzone | Specialist | 51 Margaret Street, Staten Island, NY 10308 | 2012-06-19 |
| 1972865392 | Michael D. Desarlo | Specialist | 175 Sandalwood Drive, Staten Island, NY 10308 | 2012-06-12 |
| 1881991867 | Markella Zannikos | Speech-Language Pathologist | 423 Corbin Avenue, Staten Island, NY 10308 | 2011-02-28 |
| 1013227800 | Therapy Link PC | Community/Behavioral Health | 3936 Amboy Road, Staten Island, NY 10308 | 2010-10-14 |
| Find all providers in zip 10308 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | 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 located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609351956 | Ismaeel Pharmacy Inc | Pharmacy | 280 Broadway # Store1, Staten Island, NY 10310-2055 | 2018-10-02 |
| 1487132064 | Bay Rx Inc | Pharmacy | 47 Broad St, Staten Island, NY 10304-2608 | 2018-08-05 |
| 1053805788 | Castleton Chemists LLC | Pharmacy | 831 Castleton Ave, Staten Island, NY 10310 | 2018-06-16 |
| 1275043200 | Gvm Pharmacy Inc | Pharmacy | 203 Old Town Rd, Staten Island, NY 10305-1415 | 2017-10-04 |
| 1881068971 | Enjoy Pharmaceutical Services | Pharmacy | 3927 Amboy Rd, Staten Island, NY 10308-2421 | 2015-11-30 |
| 1851762256 | Regal Remedies Rx Inc | Pharmacy | 19a Olympia Blvd, Staten Island, NY 10305-4309 | 2015-10-12 |
| 1477923266 | Mannix Family Market At Veterans Road LLC | Pharmacy | 3010 Veterans Rd W, Staten Island, NY 10309-2510 | 2015-10-06 |
| 1407285216 | Richmond Valley Pharmacy Inc | Pharmacy | 4888 Arthur Kill Rd, Staten Island, NY 10309-2633 | 2013-11-02 |
| 1003250614 | Health Aid Pharmacy II Inc | Pharmacy | 1781 Richmond Rd, Staten Island, NY 10306-2524 | 2013-04-25 |
| 1982940763 | Staten Island Pharmacy Inc. | Pharmacy | 1807 Victory Blvd, Staten Island, NY 10314-3515 | 2012-12-23 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10308 |
Please comment or provide details below to improve the information on PATHMARK STORES INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.