King Kullen Pharmacy #46

LBN: King Kullen Pharmacies Corp
King Kullen Pharmacy #46 is an health care organization with primary practice located at 598 Stewart Ave , Bethpage NY 11714-2702. 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 (516) 822-1738, or through Hesse, Albert via phone (516) 733-7100.

Contact Information

Primary practice address
598 Stewart Ave Bethpage NY 11714-2702
Fax: (516) 822-3754
Website:
Authorized official contact:
Name: Hesse, Albert RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 026220 New York

Profile Details

NPI number 1356499313
LBN Legal business name King Kullen Pharmacies Corp
DBA Doing business as King Kullen Pharmacy #46
Authorized official Hesse, Albert RPH
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 8th, 2007
Last updated Dec 8th, 2017 - about 8 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 1356499313 NPPES
Other 3338868 OTHER ID NUMBER
MEDICAID 02577851 NY OTHER ID NUMBER
Other 3338868 OTHER ID NUMBER

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