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Pathmark Stores Inc

Pathmark Stores Inc is a healthcare organization registered as Pharmacy in South Orange, NJ, holding Type 2 (organization) NPI 1568569325 since 2006. The authorized official on file is Susan Kijowski, Pharmacy Specialist.

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NPI 1568569325
Entity type Organization (Type 2)
Legal business name Pathmark Stores Inc
Other name <Unavail>
Parent organization The Great Atlantic & Pacific Tea Co
Practice address 407 VALLEY ST, South Orange, NJ, 07079
Phone 9737625044
Fax 9733783449
Enumeration date 2006-09-20
Last updated in NPPES 2008-12-10

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 RS003807 NJ

Other identifiers

Identifier Type State Issuer
4301005 Medicaid NJ
3102807 Other OTHER ID NUMBER-COMMERCIAL NUMBER
Copy-ready billing details
Provider: Pathmark Stores Inc
NPI: 1568569325
Taxonomy: 333600000X (Pharmacy)
Address: 407 VALLEY ST, South Orange, NJ, 07079

Providers at this address

NPI Name Type Specialty Location
1588832273 Gennaro Palladino Individual Pharmacist South Orange, NJ
1912176215 Joy Alderman Individual Pharmacist South Orange, NJ
1720456478 The Stop & Shop Supermarket Company LLC Organization Community/Retail Pharmacy South Orange, NJ
1194195727 Irene Burak Individual Pharmacist South Orange, NJ
1508236134 Arienne Carrington Individual Pharmacist South Orange, NJ
1700659166 Andrew Abdelmesih Individual Pharmacist South Orange, NJ

Verify this record

Cross-check NPI 1568569325 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?
Pathmark Stores Inc is registered in NPPES as a Pharmacy (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-12-10.