Pathmark Stores Inc
Pathmark Stores Inc is a healthcare organization registered as Pharmacy in Elizabeth, NJ, holding Type 2 (organization) NPI 1477650232 since 2006. The authorized official on file is Susan Kijowski, Pharmacy Specialist.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1477650232 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Pathmark Stores Inc |
| Other name | <Unavail> |
| Parent organization | The Great Atlantic & Pacific Tea Co |
| Practice address | 211 ELMORA AVE, Elizabeth, NJ, 07202 |
| Phone | 9082897711 |
| Fax | 9083511449 |
| Enumeration date | 2006-09-20 |
| Last updated in NPPES | 2008-12-11 |
Authorized official
| Name | Susan Kijowski |
|---|---|
| Title | Pharmacy Specialist |
| Phone | 2015718326 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | RS2800325300 | NJ |
| 3336C0003X | Community/Retail Pharmacy | Secondary | — | — |
| 333600000X | Pharmacy | Primary | RS002207 | NJ |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3102819 | Other | — | OTHER ID NUMBER-COMMERCIAL NUMBER |
| 4260601 | Medicaid | NJ | — |
Copy-ready billing details
Provider: Pathmark Stores Inc NPI: 1477650232 Taxonomy: 333600000X (Pharmacy) Address: 211 ELMORA AVE, Elizabeth, NJ, 07202
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1902074016 | Robert Elliott | Individual | Pharmacist | Elizabeth, NJ |
| 1679741789 | Mitchell Grygo | Individual | Pharmacist | Elizabeth, NJ |
Verify this record
Cross-check NPI 1477650232 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 is a Type 2 NPI?
What type of organization is Pathmark Stores Inc?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2008-12-11.