King Kullen Pharmacy
LBN: King Kullen Pharmacy
King Kullen Pharmacy is an health care organization with primary practice located at 440 E Main St , Bay Shore NY 11706-8501. 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 Pharmacy can be contacted via phone (631) 666-9090, or through Hesse, Albert via phone (516) 733-7100.
Contact Information
Primary practice address
440 E Main St
Bay Shore NY 11706-8501
Phone: (631) 666-9090
Fax: (631) 665-9123
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 021231 | New York |
Profile Details
| NPI number | 1093863045 |
|---|---|
| LBN Legal business name | King Kullen Pharmacy |
| DBA Doing business as | |
| Authorized official | Hesse, Albert RPH |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Sep 25th, 2009 - about 15 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 | 1093863045 | NPPES |
| Other | 3321584 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| Other | 3321584 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | 01343553 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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