National Provider Identifier Database

PATHMARK STORES INC
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

PATHMARK STORES INC
ROUTE 440 AND KELLOGG ST
JERSEY CITY, NJ07305
Phone: 201-434-1212
Fax: 201-499-1063
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X

* Indicates primary specialty

NPI Profile & details for PATHMARK STORES INC

NPI Number 1043311418
Legal business name
LBN
PATHMARK STORES INC
Authorized official SUSAN KIJOWSKI - (PHARMACY SPECIALIST)
Entity Organization
Organization subpart Yes
Enumeration date 09/26/2006
Last updated 09/29/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • NJ License #: RS002954
  • NJ Medicaid: 4260503
  • Other: 3102895 OTHER ID NUMBER-COMMERCIAL NUMBER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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