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Pathmark Stores Inc

Pathmark Stores Inc is a healthcare organization registered as Pharmacy in Bethpage, NY, holding Type 2 (organization) NPI 1518064377 since 2006. The authorized official on file is Susan Kijowski, Pharmacy Specialist.

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NPI 1518064377
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 3901 HEMPSTEAD TNPK, Bethpage, NY, 11714
Phone 5167351450
Fax 5167356520
Enumeration date 2006-09-20
Last updated in NPPES 2008-11-20

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 013580 NY
3336C0003X Community/Retail Pharmacy Secondary
333600000X Pharmacy Primary 013580 NY

Other identifiers

Identifier Type State Issuer
00383362 Medicaid NY
3313880 Other OTHER ID NUMBER-COMMERCIAL NUMBER
Copy-ready billing details
Provider: Pathmark Stores Inc
NPI: 1518064377
Taxonomy: 333600000X (Pharmacy)
Address: 3901 HEMPSTEAD TNPK, Bethpage, NY, 11714

Verify this record

Cross-check NPI 1518064377 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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-11-20. Verify at npiregistry.cms.hhs.gov.
Where is Pathmark Stores Inc located?
The practice location on file with NPPES is in Bethpage, NY.

Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2008-11-20.