Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pathmark Stores Inc

Organization Pharmacy · NPI 1053418814

Pathmark Stores Inc is a Pharmacy in Staten Island, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2660 Hylan Blvd
Staten Island, NY 10306-4355
Phone: (718) 979-1005
Fax: (718) 980-5512
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence 014471 (NY)
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1053418814
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mindi Norelli — Admin · (732) 499-3313
Other names Pathmark Pharmacy
NPI enumeratedSeptember 20, 2006
Last updated in NPPESJuly 19, 2007
Mailing address200 Milik St, M115, Carteret, NJ 07008-1102

Other providers in Staten Island