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Pathmark Stores Inc

Pharmacy in Avenel, NJ · enumerated 2006 · authorized official Susan Kijowski, Manager, Regulatory Compliance.

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

National Provider Identifier

1811094675

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
Practice address 1600 Saint Georges Ave, Avenel, NJ, 07001
Phone (732) 499-7904
Fax (732) 943-1479
Enumeration date Sep 20, 2006
Last updated in NPPES Oct 11, 2013

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers Secondary
332B00000X Durable Medical Equipment & Medical Supplies Suppliers · License RS28002936 (NJ) Secondary
333600000X Pharmacy Suppliers · License 28RS00293600 (NJ) Primary

Authorized official

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

Other identifiers

Identifier Type State Issuer
4326300 Medicaid NJ -
3122330 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

Who is the authorized official for Pathmark Stores Inc?
NPPES lists Susan Kijowski (Manager, Regulatory Compliance) as the authorized official for this organization.
What is the NPI number for Pathmark Stores Inc?
The NPI for Pathmark Stores Inc is 1811094675, 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 2013-10-11.