KING KULLEN PHARMACIES CORP (NPI# 1063560027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063560027 |
| Entity Type | Organization |
| Organization Name | KING KULLEN PHARMACIES CORP |
| Other Organization Name | KING KULLEN PHARMACY #18 |
| Practice Address |
5507 200 Nesconset Hwy Mount Sinai NY 11766-2019 |
| Mailing Address |
King Kullen Grocery Co Inc 185 Central Ave Dept 1030 Bethpage NY 11714-3929 |
| Practice Telephone | 6314740012 |
| Practice Fax Number | 6314738515 |
| Mailing Telephone | 5167337100 |
| Mailing Fax Number | 5168276263 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2017-12-08 |
| Authorized Official Name | ALBERT HESSE (PHARMACY COORDINATOR) |
| Authorized Official Telephone | 5167337100 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | Y |
| Parent Organization Name | KING KULLEN GROCERY CO. INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
020241 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01143457 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3394741 | 01 | |
| OTHER ID NUMBER | 3394741 | 01 |
| Other Name | Type Code |
|---|---|
| King Kullen Pharmacy #18 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235267436 | King Kullen Pharmacies Corp | Pharmacy | 1235 Middle Country Rd, Middle Island, NY 11953-2515 | 2007-03-01 |
| 1174671135 | King Kullen Pharmacies Corp | Pharmacy | 31525 Main Rd, Cutchogue, NY 11935-1343 | 2007-01-08 |
| 1902954951 | King Kullen Pharmacies Corp | Pharmacy | 50 New York Ave, Huntington, NY 11743-2199 | 2007-01-08 |
| 1336297399 | King Kullen Pharmacies Corp | Pharmacy | 552 Montauk Hwy, Center Moriches, NY 11934-2207 | 2007-01-08 |
| 1356499313 | King Kullen Pharmacies Corp | Pharmacy | 598 Stewart Ave, Bethpage, NY 11714-2702 | 2007-01-08 |
| 1265580229 | King Kullen Pharmacies Corp | Pharmacy | 3284 Hempstead Tpke, Levittown, NY 11756-1345 | 2007-01-08 |
| 1710035779 | King Kullen Pharmacies Corp | Pharmacy | 460 County Road 111, Manorville, NY 11949-3372 | 2007-01-08 |
| 1629126685 | King Kullen Pharmacies Corp | Pharmacy | 307 Independence Plz, Selden, NY 11784-2400 | 2007-01-08 |
| 1861419483 | King Kullen Pharmacies Corp | Pharmacy | 440 E Sunrise Hwy, Patchogue, NY 11772-2254 | 2006-07-17 |
| 1104128693 | King Kullen Pharmacies Corp | Pharmacy | 185 Central Ave, Bethpage, NY 11714-3927 | 2010-12-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | KING KULLEN PHARMACIES CORP. | 185 Central Ave, Bethpage, Ny 117143929 |
| Street Address |
5507 200 NESCONSET HWY |
| City | MOUNT SINAI |
| State | NY |
| Zip Code | 11766-2019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194181149 | Vicki Denise Knight | Counselor | 5505 Nesconset Hwy, Suite 207, Psychotherapy & Social Wrok Concepts, Mt. Sinai, NY 11766 | 2016-01-06 |
| 1689003840 | Ivy B Ferretti | Licensed Practical Nurse | 830 Canal Rd, Mt Sinai, NY 11766 | 2013-11-07 |
| 1225474554 | Tranquility of Mind Lcsw PC | Social Worker | 28 North Country Rd., Suite 101, Mt. Sinai, NY 11766 | 2013-05-14 |
| 1942542204 | Lee Mari Pennisi | Case Manager/Care Coordinator | 6 Ivy Covered Way, Mount Sinai, NY 11766 | 2013-03-25 |
| 1679883623 | Christa Marie Marano | Local Education Agency (LEA) | Mount Sinai High School-school Social Worker, North Country Road, Mount Sinai, NY 11766 | 2010-10-08 |
| 1174770341 | Alexandria Christina Hope Marston | Licensed Practical Nurse | 2 Dandelion Court, Mount Sinai, NY 11766 | 2008-08-19 |
| 1063687762 | Developmental Disabilities Institute | Intermediate Care Facility, Mentally Retarded | 699 Mt Sinai Rd, Mount Sinai, NY 11766 | 2008-04-24 |
| 1164550265 | Kimberly Marie Smith | Speech-Language Pathologist | 80 Grasslands Circle, Mount Sinai, NY 11766 | 2007-03-01 |
| 1336282615 | Lawrence Allen Propper | Social Worker | 28 North Country Rd, Suite 101, Mt Sinai, NY 11766 | 2007-02-15 |
| 1033258363 | Diane Rutkowsky | Audiologist | 28 N. Country Rd., Suite 201, Mt. Sinai, NY 11766 | 2007-02-05 |
| Find all providers in zip 11766 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1477151512 | 101 Rx Pharmacy Inc | Pharmacy | 101 Rx Pharmacy Inc, 9718 101st Ave, Ozone Park, NY 11416 | 2020-10-12 |
| 1043818289 | Xuwei Lin | Pharmacy | 8218 14th Ave, Brooklyn, NY 11228-3114 | 2020-10-10 |
| 1043817463 | Angella Samson | Pharmacy | 1346 Granville Payne Ave, Brooklyn, NY 11239-2103 | 2020-10-08 |
| 1366059792 | Community Healthcare Network Inc. | Pharmacy | 999 Blake Ave Fl 1, Brooklyn, NY 11208-3535 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT SINAI |
| Zip Code | 11766 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.