- Practice location
- 625 Atlantic Ave, Brooklyn, NY 11217-2169
- Phone
- 718-399-6239
- Fax
- 718-399-6392
- Last updated
- October 5, 2010
Pathmark Stores INC is a healthcare organization based in Brooklyn, NY. Pathmark Stores INC practices in Brooklyn, NY. The NPI Number for Pathmark Stores INC is 1871690636 and holds a License No. 023069 (NY). The current practice location address for Pathmark Stores INC is 625 Atlantic Ave, Brooklyn, NY 11217-2169 and can be reached out via phone at 718-399-6239 and via fax at 718-399-6392.
Provider Profile Details
- NPI Number
- 1871690636
- Provider Name
- Pathmark Stores INC
- Provider Entity Type
- Organization
- Address
- 625 Atlantic Ave, Brooklyn, NY 11217-2169
- Phone Number
- 718-399-6239
- Fax Number
- 718-399-6392
- Primary Taxonomy
- Pharmacy · 333600000X
- Organization Subpart
- Yes
- Parent Organization
- The Great Atlantic & Pacific Tea Co., INC.
- Authorized Official
- Susan D Kijowski · Regulatory Compliance Specialist · 201-571-8326
- Other Names
- Pathmark Pharmacy (Doing Business As)
- Provider Enumeration Date
- September 20, 2006
- Last Update Date
- October 5, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 625 Atlantic Ave
Brooklyn, NY 11217-2169 - City
- Brooklyn
- State
- New York
- Zip
- 11217-2169
- Phone Number
- 718-399-6239
- Fax Number
- 718-399-6392
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)
- 023069
- License State (2)
- NY
- Taxonomy (2)
- Durable Medical Equipment & Medical Supplies · 332B00000X
- License Number (3)
- 023069
- License State (3)
- NY
- 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 Brooklyn, NY
View all Pharmacy providers in Brooklyn →Frequently Asked Questions
What is the NPI number of Pathmark Stores INC?
The NPI number of Pathmark Stores INC is 1871690636. 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 NY under license number 023069.
Where does Pathmark Stores INC practice?
The practice location is 625 Atlantic Ave, Brooklyn, NY 11217-2169. The office can be reached at 718-399-6239 (phone) or 718-399-6392 (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 1871690636 directly on the NPPES registry website.