Pathmark Pharmacy

LBN: Pathmark Stores Inc
Pathmark Pharmacy is an health care organization with primary practice located at 2060 Sunrise Hwy , Bay Shore NY 11706-6018. 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 (631) 666-5501, or through Kijowski, Susan D via phone (201) 571-8326.

Contact Information

Primary practice address
2060 Sunrise Hwy Bay Shore NY 11706-6018
Phone: (631) 666-5501
Fax: (631) 666-4680
Website:
Map and Directions
Authorized official contact:
Name: Kijowski, Susan D
Phone: (201) 571-8326

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 015200 New York
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1235236001
LBN Legal business name Pathmark Stores Inc
DBA Doing business as Pathmark Pharmacy
Authorized official Kijowski, Susan D
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 20th, 2006
Last updated Aug 18th, 2010 - about 14 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 1235236001 NPPES
New York MEDICAID 00513084
New York Other 3351765

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