Individual provider Active NPI

Albert W. Hesse Jr., RPH

  • Pharmacist
  • Hauppauge, NY
National Provider Identifier
1104009141
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
33778 Issued in NY
Practice address
102 Motor Pkwy Ste 410
Hauppauge, NY 11788-5178
Phone
(516) 733-7196
NPI assigned
Dec 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 33778 NY Primary

Addresses

Primary practice location

102 Motor Pkwy Ste 410
Hauppauge, NY 11788-5178

Mailing address

2 Elizabeth LN
Port Jefferson Station, NY 11776-2954
Phone (516) 351-4518

Other identifiers 1

IdentifierTypeStateIssuer
33778OtherNYLICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
33778NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
King Kullen Pharmacies Corp Past Accepting new patients
King Kullen Pharmacies Corp Past Accepting new patients
King Kullen Pharmacies Corp Past Accepting new patients
King Kullen Pharmacies Corp Past Accepting new patients
King Kullen Pharmacies Corp Past Accepting new patients
King Kullen Pharmacies Corp Past Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1104009141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ELIZABETH LN",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762954",
            "telephone_number": "516-351-4518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MOTOR PKWY STE 410",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117885178",
            "telephone_number": "516-733-7196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESSE",
        "first_name": "ALBERT",
        "middle_name": "W.",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-13",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "33778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "33778",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; 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.