- Practice location
- 50 State Route 36, Eatontown, NJ 07724-2508
- Phone
- 732-542-6204
- Fax
- 732-389-7434
- Last updated
- August 9, 2007
Pathmark Stores INC is a healthcare organization based in Eatontown, NJ. Pathmark Stores INC practices in Eatontown, NJ. The NPI Number for Pathmark Stores INC is 1831296698 and holds a License No. RS002205 (NJ). The current practice location address for Pathmark Stores INC is 50 State Route 36, Eatontown, NJ 07724-2508 and can be reached out via phone at 732-542-6204 and via fax at 732-389-7434.
Provider Profile Details
- NPI Number
- 1831296698
- Provider Name
- Pathmark Stores INC
- Provider Entity Type
- Organization
- Address
- 50 State Route 36, Eatontown, NJ 07724-2508
- Phone Number
- 732-542-6204
- Fax Number
- 732-389-7434
- Primary Taxonomy
- Pharmacy · 333600000X
- Organization Subpart
- No
- Authorized Official
- Mindi Norelli · Admin · 732-499-3313
- Other Names
- Pathmark Pharmacy (Doing Business As)
- Provider Enumeration Date
- September 20, 2006
- Last Update Date
- August 9, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 50 State Route 36
Eatontown, NJ 07724-2508 - City
- Eatontown
- State
- New Jersey
- Zip
- 07724-2508
- Phone Number
- 732-542-6204
- Fax Number
- 732-389-7434
Provider Business Mailing Address Details
- Address
- 200 Milik St
M115
Carteret, NJ 07008-1102 - City
- Carteret
- State
- NJ
- Zip
- 07008-1102
License Information
- Taxonomy (1)
- Pharmacy, Community/Retail Pharmacy · 3336C0003X
- License Number (2)
- RS002205
- License State (2)
- NJ
- Taxonomy (2)
- Pharmacy · 333600000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 1831296698. 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 RS002205.
Where does Pathmark Stores INC practice?
The practice location is 50 State Route 36, Eatontown, NJ 07724-2508. The office can be reached at 732-542-6204 (phone) or 732-389-7434 (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 1831296698 directly on the NPPES registry website.