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Pathmark Stores Inc

Pharmacy in Massapequa, NY · enumerated 2006 · authorized official Susan Kijowski, Regulatory Compliance Specialist.

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

National Provider Identifier

1699872465

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 Company Inc
Practice address 941 Carmans Rd, Massapequa, NY, 11758
Phone (516) 797-5477
Fax (516) 797-5480
Enumeration date Sep 20, 2006
Last updated in NPPES Oct 15, 2010

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers · License 025024 (NY) Secondary
333600000X Pharmacy Suppliers · License 025024 (NY) Primary
3336C0003X Community/Retail Pharmacy Suppliers Secondary

Authorized official

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

Other identifiers

Identifier Type State Issuer
3320897 Other — OTHER ID NUMBER-COMMERCIAL NUMBER
02137415 Medicaid NY —

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

Who is the authorized official for Pathmark Stores Inc?
NPPES lists Susan Kijowski (Regulatory Compliance Specialist) as the authorized official for this organization.
What is the NPI number for Pathmark Stores Inc?
The NPI for Pathmark Stores Inc is 1699872465, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-10-15.