Pathmark

Primary specialty

PharmacistTaxonomy code 183500000X

License

044651I Issued in NY

Legal business name

PATHMARK

Practice address

2660 Hylan Blvd
Staten Island, NY 10306-4360

Phone

(718) 668-2972

NPI assigned

Apr 19, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Richard Trezzino Jr., R.P.H

Title

Pharmacist

Phone

(718) 645-1113

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303171200000",
    "number": "1083904486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 BROWN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064360",
            "telephone_number": "718-668-2972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHMARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-19",
        "last_updated": "2011-04-19",
        "status": "A",
        "authorized_official_last_name": "TREZZINO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "718-645-1113",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "R.P.H"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "044651I",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Paterno
• Philip Salvatore Paterno, P.A.-C.
• Antonette Paternostro
• Rahul Shivaji Pathak, M.D.
• Shailesh Suresh Pathare, M.D.
• Pathmark Stores Inc
• Pathmark Stores Inc
• Pathmark Stores Inc
• Pathmark Stores Inc
• Pathmark Stores Inc

• Pharmacist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; 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.