OrganizationActive
Pathmark Stores Inc
NPI 1134220502 · Pharmacy · Randolph, NJ
Pathmark Stores Inc is a Pharmacy organization in Randolph, NJ (NPI 1134220502).
Provider details
- NPI number
- 1134220502
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Parent organization
- The Great Atlantic & Pacific Tea Co
- Organization subpart
- Yes
- Authorized official
- Susan Kijowski, Pharmacy Specialist(201) 571-8326
- License
- RS2800325300 (NJ)
Specialties & taxonomies
Suppliers
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Kmart Plaza US Rt 10
Randolph, NJ 07869
Phone: (973) 361-7532
Fax: (973) 366-5232
Approximate (ZIP-level) locationGet directions
Mailing address
2 Paragon Dr
Montvale, NJ 07645-1718
Other names (DBA / former)
- Doing business as
- Pathmark Pharmacy
Registry dates
- Enumerated
- 2006-09-26
- Last updated
- 2008-12-11
Frequently asked questions
- What is Pathmark Stores Inc's NPI number?
- Pathmark Stores Inc's National Provider Identifier (NPI) is 1134220502, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pathmark Stores Inc?
- Pathmark Stores Inc is classified in the NPPES registry as Pharmacy (Suppliers).
- Where is Pathmark Stores Inc located?
- Pathmark Stores Inc's practice location on file with NPPES is Kmart Plaza US Rt 10, Randolph, NJ 07869.
- What is Pathmark Stores Inc's phone number?
- The practice phone number listed in the NPPES registry for Pathmark Stores Inc is (973) 361-7532.
- Who is the authorized official for Pathmark Stores Inc?
- The authorized official listed on Pathmark Stores Inc's NPPES record is Susan Kijowski, Pharmacy Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pathmark Stores Inc's NPI active?
- Yes — Pathmark Stores Inc's NPI (1134220502) is active in the NPPES registry as of the last update on 2008-12-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.