PATHMARK PHARMACY
NPI 1508963372
Pharmacy in Staten Island, NY

NPI Status: Active since September 20, 2006

Contact Information

2730 ARTHUR KILL RD
STATEN ISLAND, NY
ZIP 10309
Phone: (718) 984-8172
Fax: (718) 984-9434

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  • Organization
  • Pharmacy

About PATHMARK PHARMACY

This page provides the complete NPI Profile along with additional information for Pathmark Pharmacy, a provider established in Staten Island, New York operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1508963372 assigned on September 2006. The practitioner's primary taxonomy code is 333600000X with license number 024973 (NY). The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's is doing business as Pathmark Pharmacy. The authorized official of this NPI record is Susan D Kijowski (Regulatory Compliance Specialist)

NPI
1508963372
Provider Legal Name
PATHMARK STORES INC
Other Organization Name
PATHMARK PHARMACY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2730 ARTHUR KILL RD STATEN ISLAND, NY 10309
Location Phone
(718) 984-8172
Location Fax
(718) 984-9434
Mailing Address
2 PARAGON DR MONTVALE, NJ 07645
Mailing Phone
(201) 573-9700
Mailing Fax
(718) 984-9434
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-20-2006
Last Update Date
10-15-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy

Taxonomy Code
333600000X
Type
Suppliers
License No.
024973
License State
NY
Taxonomy Description
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

024973 (NY)
23336C0003XSuppliers

Pharmacy
Community/Retail Pharmacy

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SUSAN D KIJOWSKI

Authorized Official Title
REGULATORY COMPLIANCE SPECIALIST
Authorized Official Phone
(201) 571-8326

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
02217081MEDICAID (05)NY 
3323817OTHER (01)OTHER ID NUMBER-COMMERCIAL NUMBER
0636000199MEDICARE NSC (07)NY 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1508963372
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25081866314
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 0 + 8 + 1 + 8 + 6 + 6 + 3 + 1 + 4 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1508963372 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1700054269MRS. SANAA W ATTIA RPH
Individual
Pharmacist2730 ARTHUR KILL RD
STATEN ISLAND, NY 10309
(718) 984-8172
1578734562MR. SUDHIR R SHAH
Individual
Pharmacist2730 ARTHUR KILL RD
STATEN ISLAND, NY 10309
(718) 984-8172

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508963372, enumerated in the NPI registry as an "organization" on September 20, 2006

The provider is located at 2730 Arthur Kill Rd Staten Island, Ny 10309 and the phone number is (718) 984-8172

This medical organization specializes in Pharmacy with taxonomy code 333600000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on September 20, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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