- Practice location
- 2660 Hylan Blvd, Staten Island, NY 10306-4355
- Phone
- 718-979-1005
- Fax
- 718-980-5512
- Last updated
- July 19, 2007
Pathmark Stores INC is a healthcare organization based in Staten Island, NY. Pathmark Stores INC practices in Staten Island, NY. The NPI Number for Pathmark Stores INC is 1053418814 and holds a License No. 014471 (NY). The current practice location address for Pathmark Stores INC is 2660 Hylan Blvd, Staten Island, NY 10306-4355 and can be reached out via phone at 718-979-1005 and via fax at 718-980-5512.
Provider Profile Details
- NPI Number
- 1053418814
- Provider Name
- Pathmark Stores INC
- Provider Entity Type
- Organization
- Address
- 2660 Hylan Blvd, Staten Island, NY 10306-4355
- Phone Number
- 718-979-1005
- Fax Number
- 718-980-5512
- Primary Taxonomy
- Pharmacy · 333600000X
- Organization Subpart
- No
- Authorized Official
- Mindi Norelli · Admin · 732-499-3313
- Other Names
- Pathmark Pharmacy (Doing Business As)
- Provider Enumeration Date
- September 20, 2006
- Last Update Date
- July 19, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2660 Hylan Blvd
Staten Island, NY 10306-4355 - City
- Staten Island
- State
- New York
- Zip
- 10306-4355
- Phone Number
- 718-979-1005
- Fax Number
- 718-980-5512
Provider Business Mailing Address Details
- Address
- 200 Milik St
M115
Carteret, NJ 07008-1102 - City
- Carteret
- State
- NJ
- Zip
- 07008-1102
License Information
- Taxonomy (1)
- Pharmacy, Community/Retail Pharmacy · 3336C0003X
- License Number (2)
- 014471
- License State (2)
- NY
- Taxonomy (2)
- Pharmacy · 333600000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pharmacy providers near Staten Island, NY
View all Pharmacy providers in Staten Island →Frequently Asked Questions
What is the NPI number of Pathmark Stores INC?
The NPI number of Pathmark Stores INC is 1053418814. 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 NY under license number 014471.
Where does Pathmark Stores INC practice?
The practice location is 2660 Hylan Blvd, Staten Island, NY 10306-4355. The office can be reached at 718-979-1005 (phone) or 718-980-5512 (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 1053418814 directly on the NPPES registry website.