OrganizationActive
Pathmark Stores Inc
NPI 1962509737 · Pharmacy · Port Jefferson Station, NY
Pathmark Stores Inc is a Pharmacy organization in Port Jefferson Station, NY (NPI 1962509737).
Provider details
- NPI number
- 1962509737
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Parent organization
- Great Atlantic & Pacific Tea Co., Inc, The.
- Organization subpart
- Yes
- Authorized official
- Susan Kijowski, Manager, Regulatory Compliance(201) 571-8326
Specialties & taxonomies
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
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
5145 Nesconset Hwy
Port Jefferson Station, NY 11776-2047
Phone: (631) 331-2210
Fax: (631) 473-3291
Street-level locationGet directions
Mailing address
Po Box 416369
Boston, MA 02241-6369
Other names (DBA / former)
- Doing business as
- Pathmark Pharmacy
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2013-08-16
Frequently asked questions
- What is Pathmark Stores Inc's NPI number?
- Pathmark Stores Inc's National Provider Identifier (NPI) is 1962509737, 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 5145 Nesconset Hwy, Port Jefferson Station, NY 11776-2047.
- What is Pathmark Stores Inc's phone number?
- The practice phone number listed in the NPPES registry for Pathmark Stores Inc is (631) 331-2210.
- Who is the authorized official for Pathmark Stores Inc?
- The authorized official listed on Pathmark Stores Inc's NPPES record is Susan Kijowski, Manager, Regulatory Compliance. 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 (1962509737) is active in the NPPES registry as of the last update on 2013-08-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.