PATHMARK STORES INC (NPI# 1437256294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437256294 |
| Entity Type | Organization |
| Organization Name | PATHMARK STORES INC |
| Other Organization Name | PATHMARK PHARMACY |
| Practice Address |
5100 Wellington Ave Ventnor City NJ 08406-1445 |
| Mailing Address |
2 Paragon Drive Montvale NJ 07645-1718 |
| Practice Telephone | 6098235875 |
| Practice Fax Number | 6098236813 |
| Mailing Telephone | 2015718326 |
| Mailing Fax Number | 2015718335 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2010-11-24 |
| Authorized Official Name | SUSAN D KIJOWSKI (REGULATORY COMPLIANCE SPECIALIST) |
| Authorized Official Telephone | 2015718326 |
| Is Organization Subpart | Y |
| Parent Organization Name | THE GREAT ATLANTIC & PACIFIC TEA COMPANY, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 28RS00614200 | NJ | Suppliers |
| N | 333600000X | Pharmacy | RS0006142 | NJ | Suppliers |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 28RS00614200 | NJ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3144502 | 01 | |
| NJ | 8848301 | 05 |
| 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 |
5100 WELLINGTON AVE |
| City | VENTNOR CITY |
| State | NJ |
| Zip Code | 08406-1445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639689367 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 5100 Wellington Ave, Ventnor City, NJ 08406-1445 | 2017-10-09 |
| 1821465832 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 5100 Wellington Ave, Ventnor City, NJ 08406 | 2015-08-25 |
| 1417125089 | Joseph Gromadzyn | Pharmacist | 5100 Wellington Ave, Ventnor City, NJ 08406-1445 | 2008-02-15 |
| 1972781136 | Eric W. Wade | Pharmacist | 5100 Wellington Ave, Ventnor City, NJ 08406-1445 | 2008-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760920417 | Jessica Giaccone | Specialist/Technologist | 631 Kingsley Drive, Ventnor, NJ 08406 | 2017-02-02 |
| 1982957353 | Sarah Toomey | Speech-Language Pathologist | 3 S Wyoming Avenue, Ventnor, NJ 08406 | 2012-10-22 |
| 1891003190 | Marcia A Hamilton | Occupational Therapist | 6717 Atlantic Ave., Ventnor, NJ 08406 | 2010-09-21 |
| 1790916948 | Preferred Home Care Agency, Inc. | Home Health | 101 S Cambridge Ave, Ventnor, NJ 08406 | 2009-08-06 |
| 1114182631 | Gerald P Sandler | Dentist | 700 N. Victoria Avenue, Ventnor, NJ 08406 | 2008-07-24 |
| 1235307489 | Robert Barlia | Pharmacist | 5100 Wellington Avenue, Ventnor City, NJ 08406 | 2008-02-11 |
| 1356417554 | Joshua R Braunstein Dds Pa | Dentist | 5001 Ventnor Ave, Ventnor, NJ 08406 | 2006-11-28 |
| 1912085465 | David J Smith | Ophthalmology | 4807 Atlantic Ave, Ventnon, NJ 08406 | 2006-11-01 |
| 1609960616 | Terrence Tierney Brennan | Social Worker | 6601 Ventnor Avenue, Suite# 105, Ventnor, NJ 08406 | 2006-10-03 |
| 1992897474 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 315 N Dorset Ave Dorset Plz, Ventnor, NJ 08406 | 2006-09-29 |
| Find all providers in zip 08406 | ||||
| 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] |
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| 1043828577 | Siddhivinayak Inc. | Pharmacy | 90 Bergen St # 1600, Newark, NJ 07103-2425 | 2020-07-21 |
| 1891303616 | Amwell Pharmacy Inc. | Pharmacy | 438 Route 206 Ste 3, Hillsborough, NJ 08844-5525 | 2020-07-17 |
| 1366066235 | Brx LLC | Pharmacy | 250 Chambers Bridge Rd, Brick, NJ 08723 | 2020-06-05 |
| 1982237103 | Holmdel Pharmacy and Deli LLC | Pharmacy | 487 Middle Rd, Hazlet, NJ 07730-2426 | 2020-02-17 |
| 1184254575 | Frrx LLC | Pharmacy | 76 W Gilbert St, Tinton Falls, NJ 07701-4918 | 2020-01-24 |
| 1841820388 | Ewing Pharmacy LLC | Pharmacy | 1400 Parkway Ave Ste A2, Ewing, NJ 08628-3021 | 2020-01-23 |
| 1982240735 | Elite Rx LLC | Pharmacy | 2282 Hamburg Tpke Ste E, Wayne, NJ 07470-6291 | 2019-11-26 |
| 1629626163 | Meadowlands Pharmacy LLC | Pharmacy | 40, Meadowlands Pkway, Secaucus, NJ 07094 | 2019-08-28 |
| Find all providers with the same taxonomy | ||||
| City | VENTNOR CITY |
| Zip Code | 08406 |
Please comment or provide details below to improve the information on PATHMARK STORES INC.
| 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.