Pathmark Stores Inc
Pharmacy
1000 Easton Rd 100, Wyncote
Pennsylvania, 19095-2918
215-572-7440 215-572-7893
Pathmark Stores Inc is a Pharmacy in Wyncote, Pennsylvania. This organization is also known as sub part of The Great Atlantic & Pacific Tea Co Inc. It is located at 1000 Easton Rd 100, Wyncote and it's customer support contact number is 215-572-7440. 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 PP413033L for Pharmacy in Pennsylvania.
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: | 1000 Easton Rd 100, Wyncote,
Pennsylvania, 19095-2918 |
| Phone: | 215-572-7440 |
| Fax: | 215-572-7893 |
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: | 1306943170 |
| Parent Organization: | The Great Atlantic & Pacific Tea Co Inc |
| NPI Enumeration Date: | 20 Sep, 2006 |
| NPI Last Update On: | 22 Apr, 2011 |
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 | PP413033L | Pennsylvania | Primary | |
| Durable Medical Equipment & Medical Supplies | PP413033L | Pennsylvania | Secondary | |
| Community/Retail Pharmacy | | | 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 |
| 0017374600009 | Medicaid | Pennsylvania | |
| 3906370 | 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: | 2 Paragon Dr,
Montvale, New Jersey |
| Zip: | 07645-1718 |
| Phone Number: | 201-573-9700 |
| Fax Number: | 201-571-8335 |
Patients can reach Pathmark Stores Inc at
1000 Easton Rd 100, Wyncote, Pennsylvania or can
call on customer care at 215-572-7440.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.