King Kullen Pharmacy #18
LBN: King Kullen Pharmacies Corp
King Kullen Pharmacy #18 is an health care organization with primary practice located at 5507 200 Nesconset Hwy , Mount Sinai NY 11766-2019. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
King Kullen Pharmacies Corp can be contacted via phone (631) 474-0012, or through Hesse, Albert via phone (516) 733-7100.
Contact Information
Primary practice address
5507 200 Nesconset Hwy
Mount Sinai NY 11766-2019
Phone: (631) 474-0012
Fax: (631) 473-8515
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 020241 | New York |
Profile Details
| NPI number | 1063560027 |
|---|---|
| LBN Legal business name | King Kullen Pharmacies Corp |
| DBA Doing business as | King Kullen Pharmacy #18 |
| Authorized official | Hesse, Albert RPH |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Dec 8th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063560027 | NPPES |
| Other | 3394741 | OTHER ID NUMBER | |
| MEDICAID | 01143457 | OTHER ID NUMBER | |
| Other | 3394741 | OTHER ID NUMBER |
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