- Practice location
- 130 Wheatley Plz, Greenvale, NY 11548-1316
- Phone
- 516-484-1414
- Fax
- 516-484-1371
- Last updated
- April 11, 2011
Pathmark Stores INC is a healthcare organization based in Greenvale, NY. Pathmark Stores INC practices in Greenvale, NY. The NPI Number for Pathmark Stores INC is 1609973460 and holds a License No. 013582 (NY). The current practice location address for Pathmark Stores INC is 130 Wheatley Plz, Greenvale, NY 11548-1316 and can be reached out via phone at 516-484-1414 and via fax at 516-484-1371.
Provider Profile Details
- NPI Number
- 1609973460
- Provider Name
- Pathmark Stores INC
- Provider Entity Type
- Organization
- Address
- 130 Wheatley Plz, Greenvale, NY 11548-1316
- Phone Number
- 516-484-1414
- Fax Number
- 516-484-1371
- Primary Taxonomy
- Pharmacy · 333600000X
- Organization Subpart
- Yes
- Parent Organization
- The Great Atlantic And Pacific Tea Company, INC.
- Authorized Official
- Susan D Kijowski · Reg Compliance Specialist · 201-571-8326
- Other Names
- Pathmark Pharmacy (Doing Business As)
- Provider Enumeration Date
- September 20, 2006
- Last Update Date
- April 11, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 130 Wheatley Plz
Greenvale, NY 11548-1316 - City
- Greenvale
- State
- New York
- Zip
- 11548-1316
- Phone Number
- 516-484-1414
- Fax Number
- 516-484-1371
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)
- 013582
- License State (2)
- NY
- Taxonomy (2)
- Durable Medical Equipment & Medical Supplies · 332B00000X
- License Number (3)
- 013582
- License State (3)
- NY
- 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 1609973460. 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 013582.
Where does Pathmark Stores INC practice?
The practice location is 130 Wheatley Plz, Greenvale, NY 11548-1316. The office can be reached at 516-484-1414 (phone) or 516-484-1371 (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 1609973460 directly on the NPPES registry website.