Pathmark Stores Inc, NPI 1730286592
Pharmacy in Lawnside, NJ, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1730286592 |
| NPI Entity Type | Organization |
| Provider Name |
Pathmark Stores Inc
Doing Business As |
| Subpart of Organization | The Great Atlantic & Pacific Tea Co |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 130 White Horse Pike N, Lawnside, NJ, US |
| Provider Mailing Address | 2 Paragon Dr, Montvale, NJ, US, 076451718 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Susan D Kijowski |
| Official Position | PHARMACY SPECIALIST |
| Phone | 201-571-8326 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Pharmacy |
| Classification | |
| Group | |
| License No. | RS002211 |
| License State | NJ |
| Description | 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. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| RS2800325300 | NJ | No | |||
| No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 4287509 | NJ | MEDICAID | 05 |
| 3102910 | OTHER ID NUMBER-COMMERCIAL NUMBER | 01 |
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