Pathmark Stores INC
Pharmacy in Port Jefferson Station, New York
1962509737- Practice location
- 5145 Nesconset Hwy, Port Jefferson Station, NY 11776-2047
- Phone
- 631-331-2210
- Fax
- 631-473-3291
- Last updated
- August 16, 2013
Pathmark Stores INC is a healthcare organization based in Port Jefferson Station, NY. Pathmark Stores INC practices in Port Jefferson Station, NY. The NPI Number for Pathmark Stores INC is 1962509737 and holds a License No. 016040 (NY). The current practice location address for Pathmark Stores INC is 5145 Nesconset Hwy, Port Jefferson Station, NY 11776-2047 and can be reached out via phone at 631-331-2210 and via fax at 631-473-3291.
Provider Profile Details
- NPI Number
- 1962509737
- Provider Name
- Pathmark Stores INC
- Provider Entity Type
- Organization
- Address
- 5145 Nesconset Hwy, Port Jefferson Station, NY 11776-2047
- Phone Number
- 631-331-2210
- Fax Number
- 631-473-3291
- Primary Taxonomy
- Pharmacy · 333600000X
- Organization Subpart
- Yes
- Parent Organization
- Great Atlantic & Pacific Tea Co., INC, The.
- Authorized Official
- Susan D Kijowski · Manager, Regulatory Compliance · 201-571-8326
- Other Names
- Pathmark Pharmacy (Doing Business As)
- Provider Enumeration Date
- September 20, 2006
- Last Update Date
- August 16, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5145 Nesconset Hwy
Port Jefferson Station, NY 11776-2047 - State
- New York
- Zip
- 11776-2047
- Phone Number
- 631-331-2210
- Fax Number
- 631-473-3291
Provider Business Mailing Address Details
- Address
- Po Box 416369
Boston, MA 02241-6369 - City
- Boston
- State
- MA
- Zip
- 02241-6369
- Phone Number
- 201-571-4568
- Fax Number
- 201-571-8335
License Information
- Taxonomy (1)
- Pharmacy, Community/Retail Pharmacy · 3336C0003X
- License Number (2)
- 016040
- License State (2)
- NY
- Taxonomy (2)
- Durable Medical Equipment & Medical Supplies · 332B00000X
- License Number (3)
- 016040
- 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 Port Jefferson Station, NY
View all Pharmacy providers in Port Jefferson Station →Frequently Asked Questions
What is the NPI number of Pathmark Stores INC?
The NPI number of Pathmark Stores INC is 1962509737. 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 016040.
Where does Pathmark Stores INC practice?
The practice location is 5145 Nesconset Hwy, Port Jefferson Station, NY 11776-2047. The office can be reached at 631-331-2210 (phone) or 631-473-3291 (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 1962509737 directly on the NPPES registry website.