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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Pathmark Stores Inc

Pharmacy in Bethpage, NY · enumerated 2006 · authorized official Susan Kijowski, Pharmacy Specialist.

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

National Provider Identifier

1518064377

Verified

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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 3901 Hempstead Tnpk, Bethpage, NY, 11714
Fax (516) 735-6520
Enumeration date Sep 20, 2006
Last updated in NPPES Nov 20, 2008

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers · License 013580 (NY) Secondary
333600000X Pharmacy Suppliers · License 013580 (NY) Primary
3336C0003X Community/Retail Pharmacy Suppliers Secondary

Authorized official

Name Susan Kijowski
Title Pharmacy Specialist

Other identifiers

Identifier Type State Issuer
00383362 Medicaid NY -
3313880 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 2008-11-20. 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 2026-07-13. Provider record last updated 2008-11-20.