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KING KULLEN PHARMACIES CORP NPI 1174671135


NPI Information

NPI: 1174671135
Provider Name: KING KULLEN PHARMACIES CORP

Doing Business As: KING KULLEN PHARMACY #3

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
31525 MAIN RD
CUTCHOGUE, NY
ZIP 11935
Phone: (631) 734-7733
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KING KULLEN PHARMACIES CORP is a community/retail pharmacy pharmacy in Cutchogue, NY. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. KING KULLEN PHARMACIES CORP NPI is 1174671135. The provider is registered as an organization entity type.
The provider Is Doing Business As King Kullen Pharmacy #3.

The provider's business location address is:

31525 MAIN RD
CUTCHOGUE, NY
ZIP 11935-343
Phone: (631) 734-7733
Fax: (631) 734-2193

The provider's authorized official is Albert Hesse .
The authorized official title is Phcy Coordinator and has the following contact phone number (516) 733-7196.

The enumeration date for this NPI number is 1/8/2007 and was last updated on 12/8/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail Pharmacy018363NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1018363OTHERNEW YORKNY STATE PHARMACY LICENSE NUMBER
23381249OTHERNCPDP NUMBER
300861885MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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