Individual provider Active NPI

Marc R Kassman, RPH

  • Pharmacist
  • Rockaway Park, NY
National Provider Identifier
1184646986
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
045331 Issued in NY
Practice address
11514 Beach Channel Dr
Rockaway Park, NY 11694-2206
Phone
(718) 689-0948
Fax
(718) 691-4610
NPI assigned
Jul 24, 2006
Last updated
Nov 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 045331 NY Primary

Addresses

Primary practice location

11514 Beach Channel Dr
Rockaway Park, NY 11694-2206

Mailing address

4137 220TH Place
Bayside, NY 11361
Phone (718) 423-7571

Other identifiers 1

IdentifierTypeStateIssuer
045331OtherNYLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Beach Drugs Inc CurrentSince Nov 30, 2025 Accepting new patients
SMK Pharmacy Corp Past Accepting new patients
A & L Pharmacy Corp PastSince Nov 30, 2025 Accepting new patients

Locations

11514 Beach Channel Dr
Rockaway Park, NY 11694
Phone (718) 318-5000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1184646986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4137 220TH PLACE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "11361",
            "telephone_number": "718-423-7571",
            "fax_number": "718-423-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11514 BEACH CHANNEL DR",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116942206",
            "telephone_number": "718-689-0948",
            "fax_number": "718-691-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSMAN",
        "first_name": "MARC",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "045331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "045331",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; 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.