Organization Active NPI

KBS Pharmacy Inc

  • Community/Retail Pharmacy
  • Bensalem, PA
National Provider Identifier
1174775191
Registry record updated Feb 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP481886 Issued in PA
Legal business name
KBS PHARMACY INC
Practice address
2112 Street Rd
Bensalem, PA 19020-3757
Phone
(215) 244-4244
Fax
(215) 244-4288
NPI assigned
Oct 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2017

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

Authorized official

Name
Kaushal Patel
Title
President
Phone
(917) 667-6989

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PP481886 PA Primary

Addresses

Primary practice location

2112 Street Rd
Bensalem, PA 19020-3757

Mailing address

PO Box 429
Levittown, PA 19058-0429
Phone (215) 244-4244

Other identifiers 2

IdentifierTypeStateIssuer
2118231OtherPK
1022398770001MedicaidPA

Other names 1

  • Bensalem Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150420001783 PA Part B Supplier - Mass Immunization (Roster Biller Only) 1355508029 Practice locations: Bensalem, PA

National Provider Directory

National Provider Directory

Locations

2112 Street Rd
Bensalem, PA 19020
Phone (215) 244-4244

NPI Registry JSON

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488153600000",
    "number": "1174775191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 429",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190580429",
            "telephone_number": "215-244-4244",
            "fax_number": "215-244-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 STREET RD",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190203757",
            "telephone_number": "215-244-4244",
            "fax_number": "215-244-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KBS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-22",
        "last_updated": "2017-02-27",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KAUSHAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-667-6989"
    },
    "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": "PP481886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2118231",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022398770001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bensalem Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bensalem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; 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.