NPIMap

Organization Active NPI

Pathmark Stores, Inc.

  • Community/Retail Pharmacy
  • Jamaica, NY
National Provider Identifier
1083884928
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
45701 Issued in NY
Legal business name
PATHMARK STORES, INC.
Practice address
16417 Grand Central Pkwy
Jamaica, NY 11432-1810
Phone
(718) 591-0978
NPI assigned
Mar 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Len La Pinta, RPH
Title
Supervisor
Phone
(631) 586-4317

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 45701 NY
Community/Retail Pharmacy 3336C0003X 45701 NY Primary

Addresses

Primary practice location

16417 Grand Central Pkwy
Jamaica, NY 11432-1810

Mailing address

16417 Grand Central Pkwy
Jamaica, NY 11432-1810

National Provider Directory

National Provider Directory
Tax ID family
Pathmark Pharmacy10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1083884928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16417 GRAND CENTRAL PKWY",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16417 GRAND CENTRAL PKWY",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321810",
            "telephone_number": "718-591-0978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHMARK STORES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "PINTA",
        "authorized_official_first_name": "LEN",
        "authorized_official_middle_name": "LA",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "631-586-4317",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "NY",
            "license": "45701",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "45701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.