PATHMARK STORES INC (NPI# 1649370685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649370685 |
| Entity Type | Organization |
| Organization Name | PATHMARK STORES INC |
| Other Organization Name | PATHMARK PHARMACY |
| Practice Address |
2540 Central Park Ave Yonkers NY 10710-1112 |
| Mailing Address |
2 Paragon Dr Montvale NJ 07645-1718 |
| Practice Telephone | 9147791024 |
| Practice Fax Number | 9147931324 |
| Mailing Telephone | 2015739700 |
| Mailing Fax Number | 2015718335 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2011-04-11 |
| Authorized Official Name | SUSAN D KIJOWSKI (REG COMPLIANCE SPECIALIST) |
| Authorized Official Telephone | 2015718326 |
| Is Organization Subpart | Y |
| Parent Organization Name | THE GREAT ATLANTIC AND PACIFIC TEA COMPANY, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 018501 | NY | Suppliers |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 018501 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3382861 | 01 | |
| NY | 00879332 | 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 |
2540 CENTRAL PARK AVE |
| City | YONKERS |
| State | NY |
| Zip Code | 10710-1112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639461122 | Fred Dankner I | Pharmacist | 2540 Central Park Ave, Yonkers, NY 10710 | 2011-05-03 |
| 1265723498 | Jenny Jacob | Pharmacist | 2540 Central Park Ave, Yonkers, NY 10710-1112 | 2011-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568085512 | Elmer Camagay | Licensed Practical Nurse | 37 Alledale Rd, Yonkers, NY 10710 | 2020-05-26 |
| 1851876411 | Juan Andres Guerrero | Physical Therapist | 18 Tuckahoe Rd, Yonkers, NY 10710 | 2018-09-30 |
| 1134612369 | Jacquelyn Evett Weaver | Specialist | 3 Delia Court, Yonkers, NY 10710 | 2018-06-12 |
| 1730610312 | Ashitha Thomas | Specialist | 62 Beverky Road, Yonkers, NY 10710 | 2017-03-24 |
| 1932647666 | Paige Hempe | Registered Nurse | 1990 Central Park Ave, Yonkers, NY 10710 | 2017-02-01 |
| 1013307180 | Uma Jhaveri | Occupational Therapist | 1154 Saw Mill River Road, Ferncliff Manor, Yonkers, NY 10710 | 2015-01-28 |
| 1912309121 | Empire Vision Center, Inc. | Optometrist | 2588 Central Park Ave, Yonkers, NY 10710 | 2014-09-18 |
| 1326458472 | Karina Feliz | Behavioral Analyst | 105 Mountaindale Rd, Yonkers, NY 10710 | 2014-04-29 |
| 1871919811 | City Medical of Upper East Side, Pllc | Clinic/Center | 2393 Central Park Avenue, Yonkers, NY 10710 | 2014-03-14 |
| 1770927998 | Pinkyben Patel | Registered Nurse | 29 Shoreview Drive, # 2, Yonkers, NY 10710 | 2013-04-18 |
| Find all providers in zip 10710 | ||||
| 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 |
|---|---|---|---|---|
| 1639635758 | Map Pharmacy Inc | Pharmacy | 984 N Broadway Ste L06, Yonkers, NY 10701-1319 | 2019-02-13 |
| 1740754399 | Mohammad S Khan | Pharmacy | 41 Grant St Apt 1, Yonkers, NY 10704-2362 | 2019-01-17 |
| 1255806246 | Mount Sinai Health Inc. | Pharmacy | 1086 N Broadway Ste 155, Yonkers, NY 10701-1114 | 2018-10-05 |
| 1275908816 | Mclean Ave Pharmacy Corp | Pharmacy | 211 Mclean Ave, Yonkers, NY 10705-4419 | 2015-12-08 |
| 1225186224 | Esther Pharmacy Inc | Pharmacy | 71 S Broadway, Yonkers, NY 10701-4004 | 2007-01-08 |
| 1306957725 | 475 Pharmacy Corp | Pharmacy | 642 Mclean Ave, Yonkers, NY 10705 | 2006-08-31 |
| 1962517748 | Shoprite Supermarkets Inc. | Pharmacy | 278 Tuckahoe Rd, Yonkers, NY 10710 | 2006-08-20 |
| 1932111861 | Lake Ave Pharmacy Inc | Pharmacy | 130 Lake Ave, Yonkers, NY 10703-2713 | 2006-08-12 |
| 1750300786 | Stop and Shop Supermarket Co LLC | Pharmacy | Vrendenburgh Ave and Xavier Dr, Yonkers, NY 10704 | 2006-07-19 |
| 1760424063 | Crosstown Pharmacy Inc | Pharmacy | 352 Kimball Ave, Yonkers, NY 10704-3042 | 2006-06-12 |
| Find all providers in YONKERS | ||||
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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.