- Practice location
- 2110 Rt 130, Beverly, NJ 08010
- Phone
- 609-871-1550
- Fax
- 609-877-7719
- Last updated
- September 29, 2008
Pathmark Stores INC is a healthcare organization based in Beverly, NJ. Pathmark Stores INC practices in Beverly, NJ. The NPI Number for Pathmark Stores INC is 1285733253 and holds a License No. RS02202 (NJ). The current practice location address for Pathmark Stores INC is 2110 Rt 130, Beverly, NJ 08010 and can be reached out via phone at 609-871-1550 and via fax at 609-877-7719.
Provider Profile Details
- NPI Number
- 1285733253
- Provider Name
- Pathmark Stores INC
- Provider Entity Type
- Organization
- Address
- 2110 Rt 130, Beverly, NJ 08010
- Phone Number
- 609-871-1550
- Fax Number
- 609-877-7719
- 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 22, 2006
- Last Update Date
- September 29, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2110 Rt 130
Beverly, NJ 08010 - City
- Beverly
- State
- New Jersey
- Zip
- 08010
- Phone Number
- 609-871-1550
- Fax Number
- 609-877-7719
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
License Information
- Taxonomy (1)
- Pharmacy, Community/Retail Pharmacy · 3336C0003X
- License Number (2)
- RS02202
- License State (2)
- NJ
- 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 Beverly, NJ
View all Pharmacy providers in Beverly →Frequently Asked Questions
What is the NPI number of Pathmark Stores INC?
The NPI number of Pathmark Stores INC is 1285733253. It was assigned on September 22, 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 RS02202.
Where does Pathmark Stores INC practice?
The practice location is 2110 Rt 130, Beverly, NJ 08010. The office can be reached at 609-871-1550 (phone) or 609-877-7719 (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 1285733253 directly on the NPPES registry website.