- Practice location
- 175 Lakeside Blvd, Landing, NJ 07850-1109
- Phone
- 973-398-3303
- Fax
- 973-398-5751
- Last updated
- December 8, 2008
Pathmark Stores INC is a healthcare organization based in Landing, NJ. Pathmark Stores INC practices in Landing, NJ. The NPI Number for Pathmark Stores INC is 1528165388 and holds a License No. RS005977 (NJ). The current practice location address for Pathmark Stores INC is 175 Lakeside Blvd, Landing, NJ 07850-1109 and can be reached out via phone at 973-398-3303 and via fax at 973-398-5751.
Provider Profile Details
- NPI Number
- 1528165388
- Provider Name
- Pathmark Stores INC
- Provider Entity Type
- Organization
- Address
- 175 Lakeside Blvd, Landing, NJ 07850-1109
- Phone Number
- 973-398-3303
- Fax Number
- 973-398-5751
- 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
- December 8, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 175 Lakeside Blvd
Landing, NJ 07850-1109 - City
- Landing
- State
- New Jersey
- Zip
- 07850-1109
- Phone Number
- 973-398-3303
- Fax Number
- 973-398-5751
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)
- RS005977
- 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. | |||
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Frequently Asked Questions
What is the NPI number of Pathmark Stores INC?
The NPI number of Pathmark Stores INC is 1528165388. 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 RS005977.
Where does Pathmark Stores INC practice?
The practice location is 175 Lakeside Blvd, Landing, NJ 07850-1109. The office can be reached at 973-398-3303 (phone) or 973-398-5751 (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 1528165388 directly on the NPPES registry website.