Organization Active NPI

Kaldas Corp

  • Community/Retail Pharmacy
  • Highland Mills, NY
National Provider Identifier
1144462284
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
031492 Issued in NY
Legal business name
KALDAS CORP
Doing business as
Woodbury Pharmacy
Practice address
535 Route 32
Highland Mills, NY 10930-5150
Phone
(845) 928-3003
Fax
(845) 928-1063
NPI assigned
Apr 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

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

Authorized official

Name
Mrs. Mona Mikhail
Title
Owner
Phone
(845) 928-3003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 031492 NY Primary

Addresses

Primary practice location

535 Route 32
Highland Mills, NY 10930-5150

Mailing address

535 Route 32
Highland Mills, NY 10930-5150
Phone (845) 928-3003

Other identifiers 1

IdentifierTypeStateIssuer
3360497OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Woodbury Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130717000050 NY DME Supplier - Pharmacy 2567602477 Practice locations: Highland Mills, NY
O20210511001264 NY Part B Supplier - Mass Immunization (Roster Biller Only) 2567602477 Practice locations: Highland Mills, NY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456963200000",
    "number": "1144462284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 ROUTE 32",
            "city": "HIGHLAND MILLS",
            "state": "NY",
            "postal_code": "109305150",
            "telephone_number": "845-928-3003",
            "fax_number": "845-928-1063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 ROUTE 32",
            "city": "HIGHLAND MILLS",
            "state": "NY",
            "postal_code": "109305150",
            "telephone_number": "845-928-3003",
            "fax_number": "845-928-1063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALDAS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-06",
        "last_updated": "2016-03-03",
        "status": "A",
        "authorized_official_last_name": "MIKHAIL",
        "authorized_official_first_name": "MONA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-928-3003",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "031492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3360497",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodbury Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Highland Mills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.