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

Pathmark Stores Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1811094675

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

Licensed in
NJ
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

1600 Saint Georges Ave
Avenel, NJ 07001-1044
Phone: (732) 499-7904
Fax: (732) 943-1479
Show map & directions

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

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence 28RS00293600 (NJ)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X · Licence RS28002936 (NJ)
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1811094675
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationThe Great Atlantic & Pacific Tea Company
Authorized official Susan Kijowski — Manager, Regulatory Compliance · (201) 571-8326
Other names Pathmark Pharmacy #580
NPI enumeratedSeptember 20, 2006
Last updated in NPPESOctober 11, 2013
Mailing addressPo Box 416369, Boston, MA 02241-6369

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