Pathmark Pharmacy
LBN: Pathmark Stores Inc
Pathmark Pharmacy is an health care organization with primary practice located at 1351 Forest Ave , Staten Island NY 10302-2027. 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) 448-6758, or through Kijowski, Susan D via phone (201) 571-8326.
Contact Information
Primary practice address
1351 Forest Ave
Staten Island NY 10302-2027
Phone: (718) 448-6758
Fax: (718) 981-0540
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 013354 | New York |
| Suppliers / Pharmacy | 333600000X | 013354 | New York |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1881791648 |
|---|---|
| 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 | Mar 12th, 2009 - about 16 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 | 1881791648 | NPPES |
| Other | 3313981 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | 00264764 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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