Pathmark Stores Inc
Pharmacy
1600 Saint Georges Ave, Avenel
New Jersey, 07001-1044
732-499-7904 732-943-1479
Pathmark Stores Inc is not a DME supplier for medicare equipments and products.
Pathmark Stores Inc is a Pharmacy in Avenel, New Jersey. This organization is also known as sub part of The Great Atlantic & Pacific Tea Company. It is located at 1600 Saint Georges Ave, Avenel and it's customer support contact number is 732-499-7904. The authorized person of Pathmark Stores Inc is Susan D Kijowski who is Manager, Regulatory Compliance of the pharmacy and his contact number is 201-571-8326. Active license number of Pathmark Stores Inc is 28RS00293600 for Pharmacy in New Jersey.
Pathmark Stores Inc is 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.
Pharmacy Details:
Pathmark Stores Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Pathmark Stores Inc |
| Type: | Pharmacy |
| Location: | 1600 Saint Georges Ave, Avenel, New Jersey, 07001-1044 |
| Phone: | 732-499-7904 |
| Fax: | 732-943-1479 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Susan D Kijowski |
| Position: | Manager, Regulatory Compliance |
| Contact Number: | 201-571-8326 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1811094675 |
| Parent Organization: | The Great Atlantic & Pacific Tea Company |
| NPI Enumeration Date: | 20 Sep, 2006 |
| NPI Last Update On: | 11 Oct, 2013 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pathmark Stores Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacy | 28RS00293600 | New Jersey | Primary | |
| Community/Retail Pharmacy | | | Secondary | |
| Durable Medical Equipment & Medical Supplies | RS28002936 | New Jersey | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 4326300 | Medicaid | New Jersey | |
| 3122330 | Other | | Other Id Number-commercial Number |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 416369, Boston, Massachusetts |
| Zip: | 02241-6369 |
| Phone Number: | 201-571-8326 |
| Fax Number: | 201-571-8335 |
Patients can reach Pathmark Stores Inc at
1600 Saint Georges Ave, Avenel, New Jersey or can
call on customer care at 732-499-7904.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.