Active NPIOrganization

Pathmark Stores INC

Pharmacy in Nanuet, New York

NPI Number1770684144
Practice location
195 Rockland Ctr, Nanuet, NY 10954-2956
Fax
845-627-1947
Last updated
November 8, 2011

Pathmark Stores INC is a healthcare organization based in Nanuet, NY. Pathmark Stores INC practices in Nanuet, NY. The NPI Number for Pathmark Stores INC is 1770684144 and holds a License No. 015990 (NY). The current practice location address for Pathmark Stores INC is 195 Rockland Ctr, Nanuet, NY 10954-2956 and can be reached out via phone at 845-623-6220 and via fax at 845-627-1947.

Provider Profile Details

NPI Number
1770684144
Provider Name
Pathmark Stores INC
Provider Entity Type
Organization
Address
195 Rockland Ctr, Nanuet, NY 10954-2956
Phone Number
845-623-6220
Fax Number
845-627-1947
Primary Taxonomy
Pharmacy · 333600000X
Organization Subpart
Yes
Parent Organization
The Great Atlantic & Pacific Tea Co., INC.
Authorized Official
Susan D Kijowski · Reg Compliance Spec · 201-571-8326
Other Names
Pathmark Pharmacy (Doing Business As)
Provider Enumeration Date
September 26, 2006
Last Update Date
November 8, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
195 Rockland Ctr
Nanuet, NY 10954-2956
City
Nanuet
Zip
10954-2956
Phone Number
845-623-6220
Fax Number
845-627-1947
Nanuet, NY 10954Get 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
Fax Number
201-571-8335

License Information

Taxonomy (1)
Pharmacy, Community/Retail Pharmacy · 3336C0003X
License Number (2)
015990
License State (2)
NY
Taxonomy (2)
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 1770684144. It was assigned on September 26, 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 015990.

Where does Pathmark Stores INC practice?

The practice location is 195 Rockland Ctr, Nanuet, NY 10954-2956. The office can be reached at 845-623-6220 (phone) or 845-627-1947 (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 1770684144 directly on the NPPES registry website.

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