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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Pathmark Stores Inc

Pharmacy in Jamaica, NY · enumerated 2006 · authorized official Susan Kijowski, Pharmacy Specialist.

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

National Provider Identifier

1164529921

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 13440 Springfield Blvd, Jamaica, NY, 11413
Fax (718) 525-2180
Enumeration date Sep 20, 2006
Last updated in NPPES Mar 25, 2009

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers · License 024533 (NY) Secondary
333600000X Pharmacy Suppliers · License 024533 (NY) Primary
3336C0003X Community/Retail Pharmacy Suppliers Secondary

Authorized official

Name Susan Kijowski
Title Pharmacy Specialist

Other identifiers

Identifier Type State Issuer
02042762 Medicaid NY -
3310478 Other - OTHER ID NUMBER-COMMERCIAL NUMBER

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

Who is the authorized official for Pathmark Stores Inc?
NPPES lists Susan Kijowski (Pharmacy Specialist) as the authorized official for this organization.
What is the NPI number for Pathmark Stores Inc?
The NPI for Pathmark Stores Inc is 1164529921, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-03-25.