K S Pharmacy

LBN: 63Rd Drive Pharmacy Corp
K S Pharmacy is an health care organization with primary practice located at 9305 63Rd Dr , Rego Park NY 11374-2924. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. 63Rd Drive Pharmacy Corp can be contacted via phone (718) 459-3370, or through Ilizarov, Simon via phone (718) 459-3370.

Contact Information

Primary practice address
9305 63Rd Dr Rego Park NY 11374-2924
Phone: (718) 459-3370
Fax: (718) 459-2074
Website:
Map and Directions
Authorized official contact:
Name: Ilizarov, Simon
Phone: (718) 459-3370

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 024647 New York
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1023116050
LBN Legal business name 63Rd Drive Pharmacy Corp
DBA Doing business as K S Pharmacy
Authorized official Ilizarov, Simon
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023116050 NPPES
Other 3312511 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 02053872 OTHER ID NUMBER-COMMERCIAL NUMBER

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