Knights Road Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP482246 Issued in PA

Legal business name

KNIGHTS ROAD PHARMACY

Practice address

2788 Knights Rd
Bensalem, PA 19020-3570

Phone

(215) 638-1256

Fax

(215) 638-1257

NPI assigned

Jan 24, 2012

Organization subpart

No

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

Authorized official

Name

Regina WilliamsNPI 1578881249

Title

Pharmacy Manager

Phone

(215) 638-1256

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Knights Road Pharmacy LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Regina G Williams, PHARMD

  • Pharmacist
  • Philadelphia, PA
  • NPI 1578881249
  NPD Authorized official
• Emmanuel Williams, PHARM D.

  • Pharmacist
  • Philadelphia, PA
  • NPI 1275850216
  NPD
• Emmanuel Uguru

  • Pharmacist
  • Philadelphia, PA
  • NPI 1134800758
  NPD (past)

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595894400000",
    "number": "1013288992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2788 KNIGHTS RD",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190203570",
            "telephone_number": "215-638-1256",
            "fax_number": "215-638-1257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2788 KNIGHTS RD",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190203570",
            "telephone_number": "215-638-1256",
            "fax_number": "215-638-1257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNIGHTS ROAD PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-24",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "215-638-1256"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3996723",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Knights Road Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Knights Road Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Justin Kistler, M.D.
• Marie Klapcuniak
• Michael C Knapp, PHARMD
• Knights Medical Associates PC
• Knights Road Medical Associates, PC
• Min-Hsiung Ko, M.D.
• Kathryn Koryat, RN, BSN
• Nancy Koshko, RPH
• Pauline Kouyoumdjian, D.O.
• Joel Kravitz, D.O.

• Community/Retail Pharmacy in Bensalem, PA
• Providers in Bensalem, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.