Active NPI
KBS Pharmacy Inc
- Community/Retail Pharmacy
- Bensalem, PA
National Provider Identifier
1174775191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PP481886
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2118231 | Other | PK | |
| 1022398770001 | Medicaid | PA |
Other names 1
- Bensalem Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150420001783 | PA | Part B Supplier - Mass Immunization (Roster Biller Only) | 1355508029 | Practice locations: Bensalem, PA |
National Provider Directory
National Provider DirectoryLocations
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.