Active NPIOrganization

Pathmark Stores INC

Pharmacy in Brooklyn, New York

NPI Number1063519825
Practice location
2965 Cropsey Ave, Brooklyn, NY 11214-7216
Fax
718-372-7445
Last updated
March 20, 2009

Pathmark Stores INC is a healthcare organization based in Brooklyn, NY. Pathmark Stores INC practices in Brooklyn, NY. The NPI Number for Pathmark Stores INC is 1063519825 and holds a License No. 012950 (NY). The current practice location address for Pathmark Stores INC is 2965 Cropsey Ave, Brooklyn, NY 11214-7216 and can be reached out via phone at 718-266-2845 and via fax at 718-372-7445.

Provider Profile Details

NPI Number
1063519825
Provider Name
Pathmark Stores INC
Provider Entity Type
Organization
Address
2965 Cropsey Ave, Brooklyn, NY 11214-7216
Phone Number
718-266-2845
Fax Number
718-372-7445
Primary Taxonomy
Pharmacy · 333600000X
Organization Subpart
Yes
Parent Organization
The Great Atlantic & Pacific Tea Co INC
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
2965 Cropsey Ave
Brooklyn, NY 11214-7216
Zip
11214-7216
Phone Number
718-266-2845
Fax Number
718-372-7445
Brooklyn, NY 11214Get directions →

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

Taxonomy (1)
Pharmacy, Community/Retail Pharmacy · 3336C0003X
License Number (2)
012950
License State (2)
NY
License Number (3)
012950
License State (3)
NY
Taxonomy (3)
Pharmacy · 333600000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 1063519825. 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 012950.

Where does Pathmark Stores INC practice?

The practice location is 2965 Cropsey Ave, Brooklyn, NY 11214-7216. The office can be reached at 718-266-2845 (phone) or 718-372-7445 (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 1063519825 directly on the NPPES registry website.

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