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Pathmark Stores Inc

Pharmacy in Fairless Hills, PA · enumerated 2006 · authorized official Susan Kijowski, Pharmacy Specialist.

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

National Provider Identifier

1497852263

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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 500 Lincoln Hwy, Fairless Hills, PA, 19030
Phone (215) 295-2834
Fax (215) 295-0274
Enumeration date Sep 20, 2006
Last updated in NPPES Jun 23, 2008

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers · License PP411790L (PA) Secondary
333600000X Pharmacy Suppliers · License PP411790L (PA) Primary

Authorized official

Name Susan Kijowski
Title Pharmacy Specialist
Phone (201) 571-8326

Other identifiers

Identifier Type State Issuer
0017374600007 Medicaid PA -
3906368 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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-06-23. Verify at npiregistry.cms.hhs.gov.
Where is Pathmark Stores Inc located?
The practice location on file with NPPES is in Fairless Hills, PA.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-06-23.