- Practice location
- 1600 Saint Georges Ave, Avenel, NJ 07001-1044
- Phone
- 732-499-7904
- Fax
- 732-943-1479
- Last updated
- October 11, 2013
Pathmark Stores INC is a healthcare organization based in Avenel, NJ. Pathmark Stores INC practices in Avenel, NJ. The NPI Number for Pathmark Stores INC is 1811094675 and holds a License No. RS28002936 (NJ). The current practice location address for Pathmark Stores INC is 1600 Saint Georges Ave, Avenel, NJ 07001-1044 and can be reached out via phone at 732-499-7904 and via fax at 732-943-1479.
Provider Profile Details
- NPI Number
- 1811094675
- Provider Name
- Pathmark Stores INC
- Provider Entity Type
- Organization
- Address
- 1600 Saint Georges Ave, Avenel, NJ 07001-1044
- Phone Number
- 732-499-7904
- Fax Number
- 732-943-1479
- Primary Taxonomy
- Pharmacy · 333600000X
- Organization Subpart
- Yes
- Parent Organization
- The Great Atlantic & Pacific Tea Company
- Authorized Official
- Susan D Kijowski · Manager, Regulatory Compliance · 201-571-8326
- Other Names
- Pathmark Pharmacy #580 (Doing Business As)
- Provider Enumeration Date
- September 20, 2006
- Last Update Date
- October 11, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1600 Saint Georges Ave
Avenel, NJ 07001-1044 - City
- Avenel
- State
- New Jersey
- Zip
- 07001-1044
- Phone Number
- 732-499-7904
- Fax Number
- 732-943-1479
Provider Business Mailing Address Details
- Address
- Po Box 416369
Boston, MA 02241-6369 - City
- Boston
- State
- MA
- Zip
- 02241-6369
- Phone Number
- 201-571-8326
- Fax Number
- 201-571-8335
License Information
- Taxonomy (1)
- Pharmacy, Community/Retail Pharmacy · 3336C0003X
- License Number (2)
- RS28002936
- License State (2)
- NJ
- Taxonomy (2)
- Durable Medical Equipment & Medical Supplies · 332B00000X
- License Number (3)
- 28RS00293600
- 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 Avenel, NJ
View all Pharmacy providers in Avenel →Frequently Asked Questions
What is the NPI number of Pathmark Stores INC?
The NPI number of Pathmark Stores INC is 1811094675. 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 RS28002936.
Where does Pathmark Stores INC practice?
The practice location is 1600 Saint Georges Ave, Avenel, NJ 07001-1044. The office can be reached at 732-499-7904 (phone) or 732-943-1479 (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 1811094675 directly on the NPPES registry website.