- Practice location
- 130 White Horse Pike N, Lawnside, NJ 08045-1128
- Phone
- 856-546-5111
- Fax
- 856-672-9346
- Last updated
- December 12, 2008
Pathmark Stores INC is a healthcare organization based in Lawnside, NJ. Pathmark Stores INC practices in Lawnside, NJ. The NPI Number for Pathmark Stores INC is 1730286592 and holds a License No. RS2800325300 (NJ). The current practice location address for Pathmark Stores INC is 130 White Horse Pike N, Lawnside, NJ 08045-1128 and can be reached out via phone at 856-546-5111 and via fax at 856-672-9346.
Provider Profile Details
- NPI Number
- 1730286592
- Provider Name
- Pathmark Stores INC
- Provider Entity Type
- Organization
- Address
- 130 White Horse Pike N, Lawnside, NJ 08045-1128
- Phone Number
- 856-546-5111
- Fax Number
- 856-672-9346
- 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 12, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 130 White Horse Pike N
Lawnside, NJ 08045-1128 - City
- Lawnside
- State
- New Jersey
- Zip
- 08045-1128
- Phone Number
- 856-546-5111
- Fax Number
- 856-672-9346
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
- License Number (1)
- RS2800325300
- License State (1)
- NJ
- Taxonomy (1)
- Durable Medical Equipment & Medical Supplies · 332B00000X
- Taxonomy (2)
- Pharmacy, Community/Retail Pharmacy · 3336C0003X
- License Number (3)
- RS002211
- License State (3)
- NJ
- 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 Lawnside, NJ
View all Pharmacy providers in Lawnside →Frequently Asked Questions
What is the NPI number of Pathmark Stores INC?
The NPI number of Pathmark Stores INC is 1730286592. 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 RS2800325300.
Where does Pathmark Stores INC practice?
The practice location is 130 White Horse Pike N, Lawnside, NJ 08045-1128. The office can be reached at 856-546-5111 (phone) or 856-672-9346 (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 1730286592 directly on the NPPES registry website.