OrganizationActive
Pathmark Stores, Inc.
NPI 1861623407 · Pharmacy · Staten Island, NY
Pathmark Stores, Inc. is a Pharmacy organization in Staten Island, NY (NPI 1861623407).
Provider details
- NPI number
- 1861623407
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Parent organization
- The Great Atlantic & Pacific Tea Co., Inc.
- Organization subpart
- Yes
- Authorized official
- Susan Kijowski, Pharmacy Specialist(201) 571-8326
- License
- 029643 (NY)
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
2660 Hylan Blvd
Staten Island, NY 10306-4355
Phone: (718) 668-2972
Fax: (718) 668-2974
Street-level locationGet directions
Mailing address
2 Paragon Dr
Montvale, NJ 07645-1718
Other names (DBA / former)
- Doing business as
- Pathmark Pharmacy # 171
Registry dates
- Enumerated
- 2009-07-30
- Last updated
- 2023-03-07
Frequently asked questions
- What is Pathmark Stores, Inc.'s NPI number?
- Pathmark Stores, Inc.'s National Provider Identifier (NPI) is 1861623407, 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 2660 Hylan Blvd, Staten Island, NY 10306-4355.
- What is Pathmark Stores, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Pathmark Stores, Inc. is (718) 668-2972.
- 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 (1861623407) is active in the NPPES registry as of the last update on 2023-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.