KING KULLEN PHARMACIES CORP (NPI# 1235267436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235267436 |
| Entity Type | Organization |
| Organization Name | KING KULLEN PHARMACIES CORP |
| Other Organization Name | KING KULLEN PHARMACY #37 |
| Practice Address |
1235 Middle Country Rd Middle Island NY 11953-2515 |
| Mailing Address |
185 Central Ave Dept 1030 King Kullen Grocery Co Inc Bethpage NY 11714-3929 |
| Practice Telephone | 6319240684 |
| Practice Fax Number | 6319240722 |
| Mailing Telephone | 5167337100 |
| Mailing Fax Number | 5168276263 |
| Enumeration Date | 2007-03-01 |
| 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 |
020818 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER | 3397999 | 01 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3397999 | 01 | |
| NY | 01235978 | 05 |
| Other Name | Type Code |
|---|---|
| King Kullen Pharmacy #37 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1063560027 | King Kullen Pharmacies Corp | Pharmacy | 5507 200 Nesconset Hwy, Mount Sinai, NY 11766-2019 | 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 |
1235 MIDDLE COUNTRY RD |
| City | MIDDLE ISLAND |
| State | NY |
| Zip Code | 11953-2515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114199833 | Anne H Huang-kwok | Pharmacist | 1235 Middle Country Rd, Middle Island, NY 11953 | 2008-04-02 |
| 1942471677 | James Francis Stewart | Pharmacist | 1235 Middle Country Rd, Middle Island, NY 11953-2515 | 2008-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205461639 | Knickerbocker Dialysis Inc | Clinic/Center | 1277 Middle Country Rd, Middle Island, NY 11953 | 2020-03-05 |
| 1598252553 | Karen Simpson | Dietitian, Registered | 23 Summersweet Drive, Middle Island, NY 11953 | 2018-04-16 |
| 1699285502 | Amanda Rebekah Maye | Licensed Practical Nurse | 24 Wilson Avenue, Middle Island, NY 11953 | 2017-10-05 |
| 1982042065 | Shanti Kumari Chand | Licensed Practical Nurse | 49 Crest St, Oak Hollow Nursing Center, Middle Island, NY 11953 | 2013-06-11 |
| 1154664886 | Achieve Beyond Oediatric Therapy and Early Intervention Services | Early Intervention Provider Agency | 1103 Stonegate Way, Middle Island, NY 11953 | 2013-04-01 |
| 1831434018 | Amanda M Titus | Licensed Practical Nurse | 6 Redbud Ct, Middle Island, NY 11953 | 2012-11-29 |
| 1740561810 | Daniel Joseph Mckiernan | Registered Nurse | 217 Lake Point Cir, Middle Island, NY 11953 | 2011-09-02 |
| 1760787212 | Marissa Rodriguez | Speech-Language Pathologist | 41 Yaphank Middle Island Rd, Middle Island, NY 11953 | 2011-01-13 |
| 1376861542 | Sara Buckley | Licensed Practical Nurse | 341 Lake Pointe Dr, Middle Island, NY 11953 | 2010-05-12 |
| 1669645818 | Kimberley Jean Levy | Physician Assistant | 281 Middle Country Road, Middle Islana, NY 11953 | 2008-04-09 |
| Find all providers in zip 11953 | ||||
| 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 | MIDDLE ISLAND |
| Zip Code | 11953 |
Please comment or provide details below to improve the information on KING KULLEN PHARMACIES CORP.
| 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.