Pathmark Stores Inc
Pathmark Stores Inc is a healthcare organization registered as Pharmacy in Flushing, NY, holding Type 2 (organization) NPI 1417054271 since 2006. The authorized official on file is Susan Kijowski, Regulatory Compliance Specialist.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1417054271 |
|---|---|
| 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 | 3106 FARRINGTON ST, Flushing, NY, 11354 |
| Phone | 7188866262 |
| Fax | 7184453687 |
| Enumeration date | 2006-09-20 |
| Last updated in NPPES | 2010-10-05 |
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 | 014014 | NY |
| 333600000X | Pharmacy | Primary | 014014 | NY |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3314084 | Other | — | OTHER ID NUMBER-COMMERCIAL NUMBER |
| 00264824 | Medicaid | NY | — |
Copy-ready billing details
Provider: Pathmark Stores Inc NPI: 1417054271 Taxonomy: 333600000X (Pharmacy) Address: 3106 FARRINGTON ST, Flushing, NY, 11354
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1942450911 | Hazel-Ann Domiano | Individual | Pharmacist | Flushing, NY |
| 1174993380 | The Stop and Shop Supermarket Company, LLC | Organization | Community/Retail Pharmacy | Flushing, NY |
| 1457871931 | Crystal Na | Individual | Pharmacist | Flushing, NY |
| 1588297626 | Karry Park | Individual | Pharmacist | Flushing, NY |
Verify this record
Cross-check NPI 1417054271 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
What type of organization is Pathmark Stores Inc?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2010-10-05.