Pathmark Stores Inc
Pathmark Stores Inc is a healthcare organization registered as Pharmacy in Shirley, NY, holding Type 2 (organization) NPI 1316044183 since 2006. The authorized official on file is Susan Kijowski, Regulatory Compliance Specialist.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1316044183 |
|---|---|
| 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 | 800 MONTAUK HWY, Shirley, NY, 11967 |
| Phone | 6313995252 |
| Fax | 6313995320 |
| Enumeration date | 2006-09-20 |
| Last updated in NPPES | 2010-10-08 |
Authorized official
| Name | Susan Kijowski |
|---|---|
| Title | Regulatory Compliance Specialist |
| Phone | 2015718326 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0003X | Community/Retail Pharmacy | Secondary | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | 034086 | NY |
| 333600000X | Pharmacy | Primary | 017190 | NY |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3371933 | Other | — | OTHER ID NUMBER-COMMERCIAL NUMBER |
| 00612166 | Medicaid | NY | — |
Copy-ready billing details
Provider: Pathmark Stores Inc NPI: 1316044183 Taxonomy: 333600000X (Pharmacy) Address: 800 MONTAUK HWY, Shirley, NY, 11967
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1437208873 | Frank Pollina | Individual | Optician | Shirley, NY |
| 1700935152 | 20-20 Lab Inc. | Organization | Durable Medical Equipment & Medical Supplies | Shirley, NY |
| 1053599266 | Robert Furey | Individual | Pharmacist | Shirley, NY |
| 1003084963 | Ira Hauer | Individual | Pharmacist | Shirley, NY |
| 1285011015 | Jasmine Thomas | Individual | Pharmacist | Shirley, NY |
| 1144150707 | Patrick Mcstay | Individual | Physical Therapist | Shirley, NY |
Verify this record
Cross-check NPI 1316044183 against the authoritative CMS record: view Pathmark Stores Inc on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2010-10-08.