Gka Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

030629 Issued in NY

Legal business name

GKA INC

Doing business as

Pro Health Pharmacy

Practice address

8412 37TH Ave
Jackson Heights, NY 11372-7339

Phone

(718) 507-7775

Fax

(718) 507-7781

NPI assigned

Feb 11, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Grigoriy Kandkhorov

Title

Pharmacist

Phone

(718) 507-7775

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pro Health Pharmacy Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306368000000",
    "number": "1003113952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8412 37TH AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727339",
            "telephone_number": "718-507-7775",
            "fax_number": "718-507-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8412 37TH AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727339",
            "telephone_number": "718-507-7775",
            "fax_number": "718-507-7781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GKA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-11",
        "last_updated": "2011-05-26",
        "status": "A",
        "authorized_official_last_name": "KANDKHOROV",
        "authorized_official_first_name": "GRIGORIY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "718-507-7775"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "030629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5802485",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pro Health Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.