- Practice location
- 25 Kinnelon RD, Kinnelon, NJ 07405-2337
- Phone
- 973-838-6699
- Fax
- 973-838-1236
- Last updated
- March 20, 2009
Pathmark Stores INC is a healthcare organization based in Kinnelon, NJ. Pathmark Stores INC practices in Kinnelon, NJ. The NPI Number for Pathmark Stores INC is 1003913864 and holds a License No. RS2800325300 (NJ). The current practice location address for Pathmark Stores INC is 25 Kinnelon RD, Kinnelon, NJ 07405-2337 and can be reached out via phone at 973-838-6699 and via fax at 973-838-1236.
Provider Profile Details
- NPI Number
- 1003913864
- Provider Name
- Pathmark Stores INC
- Provider Entity Type
- Organization
- Address
- 25 Kinnelon RD, Kinnelon, NJ 07405-2337
- Phone Number
- 973-838-6699
- Fax Number
- 973-838-1236
- Primary Taxonomy
- Pharmacy · 333600000X
- Organization Subpart
- Yes
- Parent Organization
- The Great Atlantic & Pacific Tea Co
- Authorized Official
- Susan D Kijowski · Pharmacy Specialist · 201-571-8326
- Other Names
- Pathmark Pharmacy (Doing Business As)
- Provider Enumeration Date
- September 20, 2006
- Last Update Date
- March 20, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 25 Kinnelon RD
Kinnelon, NJ 07405-2337 - City
- Kinnelon
- State
- New Jersey
- Zip
- 07405-2337
- Phone Number
- 973-838-6699
- Fax Number
- 973-838-1236
Provider Business Mailing Address Details
- Address
- 2 Paragon Dr
Montvale, NJ 07645-1718 - City
- Montvale
- State
- NJ
- Zip
- 07645-1718
- Phone Number
- 201-573-9700
- Fax Number
- 201-571-8335
License Information
- License Number (1)
- RS2800325300
- License State (1)
- NJ
- Taxonomy (1)
- Durable Medical Equipment & Medical Supplies · 332B00000X
- Taxonomy (2)
- Pharmacy, Community/Retail Pharmacy · 3336C0003X
- License Number (3)
- RS002015
- License State (3)
- NJ
- Taxonomy (3)
- Pharmacy · 333600000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Pathmark Stores INC?
The NPI number of Pathmark Stores INC is 1003913864. It was assigned on September 20, 2006 and is currently active in the NPPES registry.
What is the specialty of Pathmark Stores INC?
Pathmark Stores INC is registered under the primary taxonomy Pharmacy (code 333600000X), licensed in NJ under license number RS2800325300.
Where does Pathmark Stores INC practice?
The practice location is 25 Kinnelon RD, Kinnelon, NJ 07405-2337. The office can be reached at 973-838-6699 (phone) or 973-838-1236 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003913864 directly on the NPPES registry website.