King Kullen Pharmacy

LBN: King Kullen Pharmacies Corp
King Kullen Pharmacy is an health care organization with primary practice located at 2660 Hylan Blvd , Staten Island NY 10306. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. King Kullen Pharmacies Corp can be contacted via phone (718) 979-1005, or through Kennedy, J Donald via phone (516) 733-7147.

Contact Information

Primary practice address
2660 Hylan Blvd Staten Island NY 10306
Phone: (718) 979-1005
Fax: (718) 980-5512
Website:
Map and Directions
Authorized official contact:
Name: Kennedy, J Donald
Phone: (516) 733-7147

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 028810 New York

Profile Details

NPI number 1104099977
LBN Legal business name King Kullen Pharmacies Corp
DBA Doing business as King Kullen Pharmacy
Authorized official Kennedy, J Donald
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2008
Last updated Dec 30th, 2008 - about 17 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 1104099977 NPPES
New York MEDICAID 02965337
New York Other 3357666
New York Other 3357666

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