PATHMARK STORES INC (NPI# 1043317811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043317811 |
| Entity Type | Organization |
| Organization Name | PATHMARK STORES INC |
| Other Organization Name | PATHMARK PHARMACY |
| Practice Address |
9210 Atlantic Ave Ozone Park NY 11416-1517 |
| Mailing Address |
2 Paragon Dr Montvale NJ 07645-1718 |
| Practice Telephone | 7188357903 |
| Practice Fax Number | 7186413530 |
| Mailing Telephone | 2015739700 |
| Mailing Fax Number | 2015718335 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2009-03-20 |
| Authorized Official Name | SUSAN D KIJOWSKI (PHARMACY SPECIALIST) |
| Authorized Official Telephone | 2015718326 |
| Is Organization Subpart | Y |
| Parent Organization Name | THE GREAT ATLANTIC & PACIFIC TEA CO INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 018785 | NY | Suppliers |
| Y | 333600000X | Pharmacy | 018785 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00914269 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3385122 | 01 |
| Other Name | Type Code |
|---|---|
| PATHMARK PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770684144 | Pathmark Stores Inc | Pharmacy | 195 Rockland Ctr, Nanuet, NY 10954-2956 | 2006-09-26 |
| 1134220502 | Pathmark Stores Inc | Durable Medical Equipment & Medical Supplies | Kmart Plaza Us Rt 10, Randolph, NJ 07869 | 2006-09-26 |
| 1043311418 | Pathmark Stores Inc | Pharmacy | Route 440 and Kellogg St, Jersey City, NJ 07305 | 2006-09-26 |
| 1548360589 | Pathmark Stores Inc | Pharmacy | 405 Rt 17, Hackensack, NJ 07601 | 2006-09-22 |
| 1285733253 | Pathmark Stores Inc | Pharmacy | 2110 Rt 130, Beverly, NJ 08010 | 2006-09-22 |
| 1407956436 | Pathmark Stores Inc | Durable Medical Equipment & Medical Supplies | 979 Church Rd, Cherry Hill, NJ 08002-1301 | 2006-09-22 |
| 1679673602 | Pathmark Stores Inc | Durable Medical Equipment & Medical Supplies | 759 Rt 15 South, Lake Hopatcong, NJ 07849 | 2006-09-22 |
| 1558461590 | Pathmark Stores Inc | Durable Medical Equipment & Medical Supplies | 100 Greaves Lane, Staten Island, NY 10308-2171 | 2006-09-22 |
| 1588764518 | Pathmark Stores Inc | Pharmacy | 35 Lackawanna Plaza, Montclair, NJ 07042 | 2006-09-22 |
| 1851491898 | Pathmark Stores Inc | Pharmacy | 10 Triangle 17 Plaza, Ramsey, NJ 07446 | 2006-09-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Retail Food Store | PATHMARK STORES INC | 5145 NESCONSET HWY PORT JEFFERSON STA NY 11776 |
| Street Address |
9210 ATLANTIC AVE |
| City | OZONE PARK |
| State | NY |
| Zip Code | 11416-1517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851817852 | Maria Bibi | Pharmacist | 9210 Atlantic Ave, Ozone Park, NY 11416-1517 | 2017-08-21 |
| 1629447982 | Farheen Rashid | Pharmacist | 9210 Atlantic Ave, Ozone Park, NY 11416-1517 | 2015-09-17 |
| 1013324284 | Jessica Ramasami | Pharmacist | 9210 Atlantic Ave, Ozone Park, NY 11416-1517 | 2014-07-18 |
| 1972829273 | Ruslan Mosheyev | Pharmacist | 9210 Atlantic Ave, Ozone Park, NY 11416-1517 | 2010-04-12 |
| 1295904746 | Robert F. Petsche | Pharmacist | 9210 Atlantic Ave, Ozone Park, NY 11416-1517 | 2008-02-28 |
| 1366611154 | Abo Mulokandov | Pharmacist | 9210 Atlantic Ave, Ozone Park, NY 11416-1517 | 2008-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151512 | 101 Rx Pharmacy Inc | Pharmacy | 101 Rx Pharmacy Inc, 9718 101st Ave, Ozone Park, NY 11416 | 2020-10-12 |
| 1205336591 | Ozone Park Quality Care Medicine Pllc | Clinic/Center | 7721 101st Ave Fl 1, Ozone Park, NY 11416 | 2018-02-14 |
| 1083152342 | Deshi Senior Centerllc | Clinic/Center | 8310 Rockaway Blvd, Ozone Park, NY 11416 | 2017-02-07 |
| 1225490154 | Engi Enany | Case Manager/Care Coordinator | 105 02 95th Avenue, 2nd Floor, Ozone Park, NY 11416 | 2016-03-21 |
| 1740659317 | Karen Ulloa | Registered Nurse | 105-01 101 Ave, Ozone Park, NY 11416 | 2015-09-24 |
| 1104232867 | Maria Pedreira Moretra | Licensed Practical Nurse | 105-0 101st Ave, Ozone Park, NY 11416 | 2014-07-02 |
| 1245667492 | Mohammed Miz Uddin | Licensed Practical Nurse | 9733 75th Street, Ozone Park, NY 11416 | 2013-10-02 |
| 1770910101 | Karen G Harikissoon | Social Worker | 10125 104th Street, Ozone Park, NY 11416 | 2013-09-30 |
| 1992049761 | Harry W. Lopez Dpm P.C. | Podiatrist | 87-16 101st Ave, Ozone Park, NY 11416 | 2012-11-19 |
| 1740538297 | R&m Global Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 94-04 76th St. Jamaica, Queens, NY 11416 | 2012-08-15 |
| Find all providers in zip 11416 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679182349 | Marvel Pharmacy Inc | Pharmacy | 9612 Liberty Ave, Ozone Park, NY 11417-1624 | 2020-07-28 |
| 1548783723 | Grand Rx Inc | Pharmacy | 10621 97th St, Ozone Park, NY 11417-2101 | 2017-07-19 |
| 1326585183 | Quest Pharmacy Corp | Pharmacy | 150-29 Cross Bay Blvd Store 1, Ozone Park, NY 11417 | 2017-01-31 |
| 1336543610 | Sylhet Pharmacy LLC | Pharmacy | 8001 101st Ave, Ozone Park, NY 11416-1923 | 2014-10-15 |
| 1588006746 | Jb Pharmacy Inc | Pharmacy | 93 20 Liberty Ave, Ozone Park, NY 11417-1528 | 2013-07-29 |
| 1609993823 | Chotu Corporation | Pharmacy | 7417 101st Ave, Chotu Pharmacy, Ozone Park, NY 11416 | 2007-03-23 |
| 1699857763 | Smp Pharmacy Corporation | Pharmacy | 93 20 Liberty Avenue, Ozone Park, NY 11417 | 2006-10-19 |
| 1497859458 | Rossi Pharmacy | Pharmacy | 84 01 101 Ave, Ozone Park, NY 11416 | 2006-09-12 |
| 1265793467 | S & I Right Choice Pharmacy,inc | Pharmacy | 8401 101st Ave, Ozone Park, NY 11416-2017 | 2012-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758141 | North Shore Chemists LLC | Pharmacy | 800 Northern Blvd Ste 4, Great Neck, NY 11021-5314 | 2020-10-22 |
| 1477152627 | Mary Imogene Bassett Hospital | Pharmacy | 231 N Genesee St Fl 2, Utica, NY 13502 | 2020-10-20 |
| 1023625548 | Otc Group LLC | Pharmacy | 2792 Ocean Ave Unit 5, Brooklyn, NY 11229-4730 | 2020-09-29 |
| 1932712817 | Guoyi Lin | Pharmacy | 13351 41st Rd First Floor, Flushing, NY 11355-5837 | 2020-08-28 |
| 1740891001 | Cureatr Inc | Pharmacy | 17 W 20th St Fl 3, New York, NY 10011-3702 | 2020-08-11 |
| 1609486562 | Phils Pill Pharmacy, Inc | Pharmacy | 8387 Woodhaven Blvd, Jamaica, NY 11421-1533 | 2020-08-05 |
| 1114545837 | Edgar Murcia | Pharmacy | 7702 Roosevelt Ave Ste C, Jackson Heights, NY 11372-6604 | 2020-07-09 |
| 1811513724 | Link Pharmacy | Pharmacy | 456 Avenue P, Brooklyn, NY 11223-2895 | 2020-06-17 |
| 1396361259 | Banani Road 11 LLC | Pharmacy | 181-04 Hillside Ave, Jamaica, NY 11432 | 2020-06-17 |
| 1265056998 | 99 Pharmacy, Inc. | Pharmacy | 7402 Grand Ave, Elmhurst, NY 11373-4127 | 2020-05-28 |
| Find all providers with the same taxonomy | ||||
| City | OZONE PARK |
| Zip Code | 11416 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.