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Pathmark Stores Inc

Pharmacy in Bay Shore, NY · enumerated 2006 · authorized official Susan Kijowski, Reg Compliance Specialist.

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

National Provider Identifier

1235236001

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 2060 Sunrise Hwy, Bay Shore, NY, 11706
Fax (631) 666-4680
Enumeration date Sep 20, 2006
Last updated in NPPES Aug 18, 2010

Taxonomy & classification

333600000X Pharmacy Suppliers · License 015200 (NY) Primary
3336C0003X Community/Retail Pharmacy Suppliers Secondary

Authorized official

Name Susan Kijowski
Title Reg Compliance Specialist

Other identifiers

Identifier Type State Issuer
00513084 Medicaid NY -
3351765 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

What type of organization is Pathmark Stores Inc?
Pathmark Stores Inc is registered in NPPES as a Pharmacy (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-08-18.