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Pathmark Stores Inc

Pharmacy in Yonkers, NY · enumerated 2006 · authorized official Susan Kijowski, Manager, Regulatory Compliance.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053418822

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Pathmark Stores Inc
Other name <Unavail>
Parent organization The Great Atlantic & Pacific Tea Co Inc
Practice address 1757 Central Park Ave, Yonkers, NY, 10710
Phone (914) 961-2355
Fax (914) 779-4071
Enumeration date Sep 20, 2006
Last updated in NPPES Oct 8, 2012

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers · License 016026 (NY) Secondary
333600000X Pharmacy Suppliers · License 016026 (NY) Primary
3336C0003X Community/Retail Pharmacy Suppliers Secondary

Authorized official

Name Susan Kijowski
Title Manager, Regulatory Compliance
Phone (201) 571-8326

Other identifiers

Identifier Type State Issuer
3364178 Other - OTHER ID NUMBER-COMMERCIAL NUMBER
00502727 Medicaid NY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Pathmark Stores Inc?
The NPI for Pathmark Stores Inc is 1053418822, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Pathmark Stores Inc?
NPPES lists Susan Kijowski (Manager, Regulatory Compliance) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-10-08.