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:
Map and Directions
Authorized official contact:
Name: Hesse, Albert RPH
Phone: (516) 733-7100

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063560027 NPPES
Other 3394741 OTHER ID NUMBER
MEDICAID 01143457 OTHER ID NUMBER
Other 3394741 OTHER ID NUMBER

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