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 1861623407

Pathmark Stores, Inc is a Durable Medical Equipment & Medical Supplies in Staten Island, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
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) 668-2972
Fax: (718) 668-2974
Show map & directions

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

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence 029643 (NY)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X · Licence 029643 (NY)

Record details

NPI number1861623407
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 # 171
NPI enumeratedJuly 30, 2009
Last updated in NPPESMarch 7, 2023
Mailing address2 Paragon Dr, Montvale, NJ 07645-1718

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