- Practice location
- 5005 Edgmont Ave, Brookhaven, PA 19015-1202
- Phone
- 610-872-4346
- Fax
- 610-872-4574
- Last updated
- June 30, 2008
Pathmark Stores INC is a healthcare organization based in Brookhaven, PA. Pathmark Stores INC practices in Brookhaven, PA. The NPI Number for Pathmark Stores INC is 1689771453 and holds a License No. PP413030L (PA). The current practice location address for Pathmark Stores INC is 5005 Edgmont Ave, Brookhaven, PA 19015-1202 and can be reached out via phone at 610-872-4346 and via fax at 610-872-4574.
Provider Profile Details
- NPI Number
- 1689771453
- Provider Name
- Pathmark Stores INC
- Provider Entity Type
- Organization
- Address
- 5005 Edgmont Ave, Brookhaven, PA 19015-1202
- Phone Number
- 610-872-4346
- Fax Number
- 610-872-4574
- 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
- June 30, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5005 Edgmont Ave
Brookhaven, PA 19015-1202 - City
- Brookhaven
- State
- Pennsylvania
- Zip
- 19015-1202
- Phone Number
- 610-872-4346
- Fax Number
- 610-872-4574
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)
- PP413030L
- License State (2)
- PA
- Taxonomy (2)
- Durable Medical Equipment & Medical Supplies · 332B00000X
- License Number (3)
- PP413030L
- License State (3)
- PA
- 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. | |||
Other Pharmacy providers near Brookhaven, PA
View all Pharmacy providers in Brookhaven →Frequently Asked Questions
What is the NPI number of Pathmark Stores INC?
The NPI number of Pathmark Stores INC is 1689771453. 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 PA under license number PP413030L.
Where does Pathmark Stores INC practice?
The practice location is 5005 Edgmont Ave, Brookhaven, PA 19015-1202. The office can be reached at 610-872-4346 (phone) or 610-872-4574 (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 1689771453 directly on the NPPES registry website.