Active NPIOrganization

Pathmark Stores INC

Pharmacy in Garwood, New Jersey

NPI Number1720185580
Practice location
10 South Ave, Garwood, NJ 07027-1338
Fax
908-518-1946
Last updated
January 22, 2009

Pathmark Stores INC is a healthcare organization based in Garwood, NJ. Pathmark Stores INC practices in Garwood, NJ. The NPI Number for Pathmark Stores INC is 1720185580 and holds a License No. RS28003093 (NJ). The current practice location address for Pathmark Stores INC is 10 South Ave, Garwood, NJ 07027-1338 and can be reached out via phone at 908-789-2180 and via fax at 908-518-1946.

Provider Profile Details

NPI Number
1720185580
Provider Name
Pathmark Stores INC
Provider Entity Type
Organization
Address
10 South Ave, Garwood, NJ 07027-1338
Phone Number
908-789-2180
Fax Number
908-518-1946
Primary Taxonomy
Pharmacy · 333600000X
Organization Subpart
Yes
Parent Organization
The Great Atlantic & Pacific Tea Company
Authorized Official
Prof. Susan D Kijowski · Pharmacy Specialist · 201-571-8326
Other Names
Pathmark Pharmacy (Doing Business As)
Provider Enumeration Date
September 20, 2006
Last Update Date
January 22, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 South Ave
Garwood, NJ 07027-1338
Zip
07027-1338
Phone Number
908-789-2180
Fax Number
908-518-1946
Garwood, NJ 07027Get 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

License Information

Taxonomy (1)
Pharmacy, Community/Retail Pharmacy · 3336C0003X
License Number (2)
RS28003093
License State (2)
NJ
License Number (3)
RS003093
License State (3)
NJ
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 1720185580. 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 RS28003093.

Where does Pathmark Stores INC practice?

The practice location is 10 South Ave, Garwood, NJ 07027-1338. The office can be reached at 908-789-2180 (phone) or 908-518-1946 (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 1720185580 directly on the NPPES registry website.

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