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

Pathmark Stores Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1205933074

Pathmark Stores Inc is a Durable Medical Equipment & Medical Supplies in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
Specialties on file
3
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

3021 Grays Ferry Ave
Philadelphia, PA 19146-2709
Phone: (215) 551-7284
Fax: (215) 468-5218
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence PP414226L (PA)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X · Licence PP414226L (PA)
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1205933074
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationThe Great Atlantic & Pacific Tea Co Inc
Authorized official Susan Kijowski — Pharmacy Specialist · (201) 571-8326
Other names Pathmark Pharmacy
NPI enumeratedSeptember 20, 2006
Last updated in NPPESJune 27, 2008
Mailing address2 Paragon Dr, Montvale, NJ 07645-1718

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