Pathmark Pharmacy

LBN: Pathmark Stores Inc
Pathmark Pharmacy is an health care organization with primary practice located at 405 Rt 17 , Hackensack NJ 07601. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Pathmark Stores Inc can be contacted via phone (201) 487-0145, or through Kijowski, Susan D via phone (201) 571-8326.

Contact Information

Primary practice address
405 Rt 17 Hackensack NJ 07601
Phone: (201) 487-0145
Fax: (201) 525-1252
Website:
Map and Directions
Authorized official contact:
Name: Kijowski, Susan D
Phone: (201) 571-8326

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X RS2800240900 New Jersey
Suppliers / Pharmacy 333600000X RS002409 New Jersey
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1548360589
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 22nd, 2006
Last updated Mar 11th, 2009 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1548360589 NPPES
New Jersey MEDICAID 4312309
New Jersey Other 3118305

Popular Providers