Pathmark Pharmacy

LBN: Pathmark Stores Inc
Pathmark Pharmacy is an health care organization with primary practice located at 2660 Hylan Blvd , Staten Island NY 10306-4355. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Pathmark Stores Inc can be contacted via phone (718) 979-1005, or through Norelli, Mindi via phone (732) 499-3313.

Contact Information

Primary practice address
2660 Hylan Blvd Staten Island NY 10306-4355
Phone: (718) 979-1005
Fax: (718) 980-5512
Website:
Map and Directions
Authorized official contact:
Name: Norelli, Mindi
Phone: (732) 499-3313

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 014471 New York
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1053418814
LBN Legal business name Pathmark Stores Inc
DBA Doing business as Pathmark Pharmacy
Authorized official Norelli, Mindi
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Jul 19th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053418814 NPPES
New York MEDICAID 00264833
New York Other 3314173

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