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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OTHER ID NUMBER-COMMERCIAL NUMBER | 3125538 | 01 | |
NJ | 4350201 | 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 |
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 |
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 |
759 RT 15 SOUTH |
City | LAKE HOPATCONG |
State | NJ |
Zip Code | 07849 |
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 |
Find all providers in zip 07849 |
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 |
---|---|---|---|---|
1629399043 | Jefferson Drugs LLC | Pharmacy | 706 Rt 15 South, Ste 104, Lake Hopatcong, NJ 07849 | 2010-06-21 |
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 |
Find all providers with the same taxonomy |
City | LAKE HOPATCONG |
Zip Code | 07849 |
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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.