Organization Active NPI

Koo & Associates, Inc

Doing business as Starside Drugs & Surgicals

  • Community/Retail Pharmacy
  • Flushing, NY
National Provider Identifier
1154342079
Registry record updated Jun 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
026674 Issued in NY
Legal business name
KOO & ASSOCIATES, INC
Doing business as
Starside Drugs & Surgicals
Practice address
13324A 41St Ave
Flushing, NY 11355-3629
Phone
(718) 961-2931
Fax
(718) 961-2935
NPI assigned
Jul 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2009

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

Authorized official

Name
Mr. Peter Koo, RPHNPI 1932440583
Title
President
Phone
(718) 961-2931

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 026674 NY Primary

Addresses

Primary practice location

13324A 41St Ave
Flushing, NY 11355-3629

Mailing address

13324A 41St Ave
Flushing, NY 11355-3629
Phone (718) 961-2931

Other identifiers 2

IdentifierTypeStateIssuer
3337943OtherNYNABP
02533071MedicaidNY

Other names 1

  • Starside Drugs & Surgicals Doing business as

National Provider Directory

National Provider Directory

Locations

13324A 41st Ave
Flushing, NY 11355
Phone (718) 961-2931

4115 Kissena Blvd
Flushing, NY 11355
Phone (718) 888-0893

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245110400000",
    "number": "1154342079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13324A 41ST AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553629",
            "telephone_number": "718-961-2931",
            "fax_number": "718-961-2935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13324A 41ST AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553629",
            "telephone_number": "718-961-2931",
            "fax_number": "718-961-2935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOO & ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2009-06-16",
        "status": "A",
        "authorized_official_last_name": "KOO",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-961-2931",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "026674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3337943",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02533071",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Starside Drugs & Surgicals",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; 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.