NPI

Pathmark Stores Inc

Doing business as Pathmark Pharmacy. Phone (631) 399-5252 · Fax (631) 399-5320 · NPI 1316044183

Read from the NPPES registry on October 26, 2026.

Pathmark Pharmacy pharmacy profile: phone, fax, pharmacy type, and nearby pharmacies.

Facts

Status
Active
Type
Organization
Enumeration date
2006-09-20
Last updated
2010-10-08

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Specialties

Licenses

License NY
034086
License NY
017190

Location

Practice location
800 Montauk Hwy
City
Shirley NY
Postal code
11967-2128
Phone
(631) 399-5252
Fax
(631) 399-5320

Organization contact

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

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Pharmacy providers in Shirley, NY. 6 with this primary taxonomy in the public file.

Other NPIs in Shirley, NY. 498 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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