NPIMap

Organization Active NPI

KMN Pharmacy Corp

Doing business as Oval Pharmacy Long Term Care

  • Long Term Care Pharmacy
  • Bronx, NY
National Provider Identifier
1174385983
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
KMN PHARMACY CORP
Doing business as
Oval Pharmacy Long Term Care
Practice address
255 E Gun Hill Rd
Bronx, NY 10467-2195
Phone
(718) 654-2200
Fax
(718) 515-9118
NPI assigned
Jan 26, 2024
Last updated
Aug 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Authorized official

Name
Hira Desai
Title
President
Phone
(718) 654-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

255 E Gun Hill Rd
Bronx, NY 10467-2195

Mailing address

255 E Gun Hill Rd
Bronx, NY 10467-2109
Phone (718) 654-2200

Other names 1

  • Oval Pharmacy Long Term Care Doing business as

National Provider Directory

National Provider Directory

Locations

255 E Gun Hill Rd
Bronx, NY 10467
Phone (718) 654-1685

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1174385983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 E GUN HILL RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672109",
            "telephone_number": "718-654-2200",
            "fax_number": "718-515-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 E GUN HILL RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672195",
            "telephone_number": "718-654-2200",
            "fax_number": "718-515-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMN PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "HIRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-654-2200"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oval Pharmacy Long Term Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.