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

Pathmark Stores Inc

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

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

National Provider Identifier

1225135098

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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 130 Midland Ave, Port Chester, NY, 10573

Phone (914) 937-0996

Fax (914) 937-5015

Enumeration date Sep 20, 2006

Last updated in NPPES Mar 16, 2009

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers · License 017766 (NY) Secondary

333600000X Pharmacy Suppliers · License 017766 (NY) Primary

3336C0003X Community/Retail Pharmacy Suppliers Secondary

Authorized official

Name Susan Kijowski

Title Pharmacy Specialist

Phone (201) 571-8326

Other identifiers

Identifier	Type	State	Issuer
3376426	Other	-	OTHER ID NUMBER-COMMERCIAL NUMBER
00767217	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.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Pathmark Stores Inc located?

The practice location on file with NPPES is in Port Chester, NY.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2009-03-16. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Daniel Stern Pharmacist · Port Chester, NY NPI 1518145770

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-03-16.