Pathmark Stores Inc
NPI 1194822957ActiveOrganization· Pharmacy· Brick, NJ
Pharmacy in Brick, New Jersey, registered in NPPES in September 2006, part of The Great Atlantic & Pacific Tea Company. The authorized official on file is Susan D. Kijowski, Manager, Regulatory Compliance.
Overview
| NPI | 1194822957 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | The Great Atlantic & Pacific Tea Company |
| NPI issued | Sep 20, 2006 |
| Last updated in NPPES | Mar 28, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | RS002016 | NJ |
| Durable Medical Equipment & Medical Supplies | 332B00000X | RS28002016 | NJ |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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