KING KULLEN PHARMACIES CORP (NPI# 1285782235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285782235 |
| Entity Type | Organization |
| Organization Name | KING KULLEN PHARMACIES CORP |
| Other Organization Name | KING KULLEN PHARMACY |
| Practice Address |
271 Jericho Tpke Syosset NY 11791-4502 |
| Mailing Address |
King Kullen Grocery Co Inc 185 Central Ave Dept 1030 Bethpage NY 11714-3929 |
| Practice Telephone | 5164969452 |
| Practice Fax Number | 5164969464 |
| Mailing Telephone | 5167337100 |
| Mailing Fax Number | 5168276325 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2016-03-16 |
| Authorized Official Name | ALBERT HESSE (PHARMACY COORDINATOR) |
| Authorized Official Telephone | 5167337100 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
024934 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02118156 | 05 | |
| PK | 2062818 | 01 |
| Other Name | Type Code |
|---|---|
| KING KULLEN PHARMACY | 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 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | KING KULLEN PHARMACIES CORP. | 185 Central Ave, Bethpage, Ny 117143929 |
| Street Address |
271 JERICHO TPKE |
| City | SYOSSET |
| State | NY |
| Zip Code | 11791-4502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336645357 | Bm Syosset Rx LLC | Pharmacy | 271 Jericho Tpke, Syosset, NY 11791-4502 | 2018-03-30 |
| 1841461068 | Eva Wilkin | Pharmacist | 271 Jericho Tpke, Syosset, NY 11791-4502 | 2008-03-14 |
| 1750551487 | Richard Ruess | Pharmacist | 271 Jericho Tpke, Syosset, NY 11791-4502 | 2008-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508491879 | Marjorie Stein, M.d., PC | Internal Medicine | 30 Coach Lane, Muttontown, NY 11791 | 2020-03-07 |
| 1770118168 | Naomi Krikheli | Occupational Therapy Assistant | Cooper Kids Therapy Associates, 2 Roosevelt Ave Sute300, Syosset, NY 11791 | 2020-03-06 |
| 1912482266 | Angela Viviana Depompeis | Student in an Organized Health Care Education/Training Program | 6800 Jericho Turnpike Suite 120w, Syosset, NY 11791 | 2018-10-02 |
| 1063997104 | Stephen William Tozer | Specialist/Technologist | 70 South Woods Road, Syosset, NY 11791 | 2018-09-25 |
| 1295214682 | Cathy Lynn Singer | Nurse Practitioner | 575 Underhill Blvd Ste 210, Syosset, NY 11791 | 2018-08-07 |
| 1831628296 | Amanticia Joseph | Case Manager/Care Coordinator | 40 Oak Drive, Syosset, NY 11791 | 2017-06-08 |
| 1528500758 | James F Creamer | Chiropractor | 15 Beatrice Ave, Syosset, NY 11791 | 2016-11-04 |
| 1053868190 | Diana Eileen Marlow | Registered Nurse | 1597 Laurel Hollow Road, Syosset, NY 11791 | 2016-09-07 |
| 1346796695 | Emily Bregman | Specialist | 33 Picardy Lane, Laurel Hollow, NY 11791 | 2016-08-28 |
| 1962811364 | Leslie Juarez | Registered Nurse | 7 Market Drive, Syosset, NY 11791 | 2014-08-11 |
| Find all providers in zip 11791 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699267120 | 175 Jericho Pharmacy Corp | Pharmacy | 175 Jericho Tpke West Lobby Suite, Syosset, NY 11791-4532 | 2018-05-31 |
| 1851675714 | Jericho Pharmacy Corp | Pharmacy | 340 Jericho Tpke, Syosset, NY 11791-4507 | 2011-10-10 |
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|---|---|---|---|---|
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| 1124627302 | Elite Pharmacy Inc. | Pharmacy | 614a Grand St, Brooklyn, NY 11211-4802 | 2020-10-20 |
| 1073111951 | Pharmacy On Bay Street Inc. | Pharmacy | 1209 Bay St, Staten Island, NY 10305-3121 | 2020-10-13 |
| 1760080741 | Carol Pharmacy LLC | Pharmacy | 4230 Broadway, New York, NY 10033-3746 | 2020-10-13 |
| 1528666443 | Mvp Pharmacy Inc | Pharmacy | 920 Wheeler Rd Ste 920, Hauppauge, NY 11788-2900 | 2020-10-13 |
| 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 | ||||
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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.