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Pathmark Stores Inc

NPI 1154582070ActiveOrganization· Pharmacy· Montvale, NJ

Pharmacy in Montvale, New Jersey, registered in NPPES in June 2008, part of The Great Atlantic & Pacific Tea Co., Inc. The authorized official on file is Susan D. Kijowski, Pharmacy Specialist.

Overview

NPI1154582070
StatusActive
Entity typeOrganization (subpart)
Parent organizationThe Great Atlantic & Pacific Tea Co., Inc.
NPI issuedJun 23, 2008
Last updated in NPPESJun 23, 2008

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy Primary333600000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Pharmacy providers in Montvale

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