Pathmark Pharmacy
LBN: Pathmark Stores Inc
Pathmark Pharmacy is an health care organization with primary practice located at 100 Greaves Lane , Staten Island NY 10308-2171. 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 (718) 227-0667, or through Kijowski, Susan D via phone (201) 571-8326.
Contact Information
Primary practice address
100 Greaves Lane
Staten Island NY 10308-2171
Phone: (718) 227-0667
Fax: (718) 227-4551
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 019261 | New York |
| Suppliers / Pharmacy | 333600000X | 019261 | New York |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1558461590 |
|---|---|
| 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 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558461590 | NPPES |
| Other | 3388469 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | 00986190 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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