PATHMARK STORES INC


Address: 759 Rt 15 South, Lake Hopatcong, NJ 07849
Phone: 9736630250

PATHMARK STORES INC (NPI# 1679673602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679673602
Entity Type Organization
Organization Name PATHMARK STORES INC
Other Organization Name PATHMARK PHARMACY
Practice Address 759 Rt 15 South
Lake Hopatcong
NJ 07849
Mailing Address 2 Paragon Dr
Montvale
NJ 07645-1718
Practice Telephone 9736630250
Practice Fax Number 9736634062
Mailing Telephone 2015739700
Mailing Fax Number 2015718335
Enumeration Date 2006-09-22
Last Update Date 2009-01-05
Authorized Official Name SUSAN D KIJOWSKI (PHARMACY SPECIALIST)
Authorized Official Telephone 2015718326
Is Organization Subpart Y
Parent Organization Name THE GREAT ATLANTIC & PACIFIC TEA CO

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332B00000X Durable Medical Equipment & Medical Supplies RS2800325300 NJ Suppliers
N 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
Suppliers
Y 333600000X Pharmacy RS003452 NJ Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
OTHER ID NUMBER-COMMERCIAL NUMBER 3125538 01
NJ 4350201 05

Other Provider/Organization Names

Other Name Type Code
PATHMARK PHARMACY Doing Business As Name - Organization

Other Provider IDs and Locations

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
1558461590 Pathmark Stores Inc Durable Medical Equipment & Medical Supplies 100 Greaves Lane, Staten Island, NY 10308-2171 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

Other Data Sources

Entity Type Entity Name Entity Address
New York State Retail Food Store PATHMARK STORES INC 5145 NESCONSET HWY PORT JEFFERSON STA NY 11776

Office Location

Street Address 759 RT 15 SOUTH
City LAKE HOPATCONG
State NJ
Zip Code 07849

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336618776 Jaimini Patel Optometrist 681 Route 15 S, Lake Hopatcong, NJ 07849 2018-11-15
1891276978 Special Homes of New Jersey, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 220 Espanong Road, Lake Hopatcong, NJ 07849 2018-08-27
1508357658 A Time for Change Counseling Clinic/Center 828 Route 15 South, Lake Hopatcong, NJ 07849 2018-05-24
1447771118 Premier Car Services Corporation Taxi 808 Rt 15 S, Jefferson Twp, NJ 07849 2017-07-03
1760926026 Cadc Pharmacy Inc Pharmacy 706 Route 15s, Suite 104, Lake Hopatcong, NJ 07849 2016-12-06
1598145526 Department of Special Education of The Roman Catholic Diocese of Pater Day Training, Developmentally Disabled Services 725 Route 15 South, Lake Hopatcong, NJ 07849 2015-06-04
1508137126 Firdose Syed Pharmacist 706 15 South, Lake Hopatcong, NJ 07849 2012-01-13
1245408186 Patrick F Carillo Pharmacist 759 Route 15 South, Lake Hopatcong, NJ 07849 2008-02-13
1346450913 Jefferson Family Dentistry Clinic/Center 706 Route 15 South, Ste.101, Lake Hopatcong, NJ 07849 2007-05-23
1689702078 Katharine J Audlin Optometrist Total Eyecare 681 Route 15 South, Lake Hopatcong, NJ 07849 2007-02-28
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Taxonomy Information

Taxonomy Code 333600000X
Grouping Suppliers
Classification Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629399043 Jefferson Drugs LLC Pharmacy 706 Rt 15 South, Ste 104, Lake Hopatcong, NJ 07849 2010-06-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801495544 Medilink Rxcare Hammonton, LLC Pharmacy 44 S White Horse Pike, Hammonton, NJ 08037-1845 2020-10-23
1770193757 Rvl Pharmacy Pharmacy 2500 Main St Ste 10, Sayreville, NJ 08872-1473 2020-08-05
1043828577 Siddhivinayak Inc. Pharmacy 90 Bergen St # 1600, Newark, NJ 07103-2425 2020-07-21
1891303616 Amwell Pharmacy Inc. Pharmacy 438 Route 206 Ste 3, Hillsborough, NJ 08844-5525 2020-07-17
1366066235 Brx LLC Pharmacy 250 Chambers Bridge Rd, Brick, NJ 08723 2020-06-05
1982237103 Holmdel Pharmacy and Deli LLC Pharmacy 487 Middle Rd, Hazlet, NJ 07730-2426 2020-02-17
1184254575 Frrx LLC Pharmacy 76 W Gilbert St, Tinton Falls, NJ 07701-4918 2020-01-24
1841820388 Ewing Pharmacy LLC Pharmacy 1400 Parkway Ave Ste A2, Ewing, NJ 08628-3021 2020-01-23
1982240735 Elite Rx LLC Pharmacy 2282 Hamburg Tpke Ste E, Wayne, NJ 07470-6291 2019-11-26
1629626163 Meadowlands Pharmacy LLC Pharmacy 40, Meadowlands Pkway, Secaucus, NJ 07094 2019-08-28
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Competitor

Search similar providers

City LAKE HOPATCONG
Zip Code 07849

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Dataset Information

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.

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