Pathmark Stores Inc is not a DME supplier for medicare equipments and products.
Pathmark Stores Inc is a Pharmacy in Port Chester, New York. This organization is also known as sub part of The Great Atlantic & Pacific Tea Co Inc. It is located at 130 Midland Ave, Port Chester and it's customer support contact number is 914-937-0996. The authorized person of Pathmark Stores Inc is Susan D Kijowski who is Pharmacy Specialist of the pharmacy and his contact number is 201-571-8326. Active license number of Pathmark Stores Inc is 017766 for Pharmacy in New York. 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:
130 Midland Ave, Port Chester, New York, 10573-4916
Phone:
914-937-0996
Fax:
914-937-5015
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:
Pharmacy Specialist
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:
1225135098
Parent Organization:
The Great Atlantic & Pacific Tea Co Inc
NPI Enumeration Date:
20 Sep, 2006
NPI Last Update On:
16 Mar, 2009
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
017766
New York
Primary
Community/Retail Pharmacy
Secondary
Durable Medical Equipment & Medical Supplies
017766
New York
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
3376426
Other
Other Id Number-commercial Number
00767217
Medicaid
New York
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2 Paragon Dr, Montvale, New Jersey
Zip:
07645-1718
Phone Number:
201-571-8326
Fax Number:
201-571-8335
Patients can reach Pathmark Stores Inc at 130 Midland Ave, Port Chester, New York or can call on customer care at 914-937-0996.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
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