Pathmark Stores Inc
Pathmark Stores Inc is a healthcare organization registered as Pharmacy in Edgewater, NJ, holding Type 2 (organization) NPI 1619074473 since 2006. The authorized official on file is Susan Kijowski, Pharmacy Specialist.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1619074473 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Pathmark Stores Inc |
| Other name | <Unavail> |
| Parent organization | The Great Atlantic & Pacific Tea Co |
| Practice address | 481 RIVER RD, Edgewater, NJ, 07020 |
| Phone | 2018407764 |
| Fax | 2018407786 |
| 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 | RS005309 | NJ |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6934404 | Medicaid | NJ | — |
| 3138030 | Other | — | OTHER ID NUMBER-COMMERCIAL NUMBER |
Copy-ready billing details
Provider: Pathmark Stores Inc NPI: 1619074473 Taxonomy: 333600000X (Pharmacy) Address: 481 RIVER RD, Edgewater, NJ, 07020
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1386905362 | Felix Seo | Individual | Pharmacist | Edgewater, NJ |
| 1174990907 | Acme Markets Inc | Organization | Community/Retail Pharmacy | Edgewater, NJ |
| 1457716177 | Yongkyung Kim | Individual | Pharmacist | Edgewater, NJ |
| 1639689177 | Acme Markets Inc | Organization | Community/Retail Pharmacy | Edgewater, NJ |
Verify this record
Cross-check NPI 1619074473 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?
Where is Pathmark Stores Inc located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-12-10.