NPIMap

Organization Active NPI

K.R.D.Pharmacy,Inc.Dba Sunnyside

  • Community/Retail Pharmacy
  • Sunnyside, NY
National Provider Identifier
1215156526
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
020254 Issued in NY
Legal business name
K.R.D.PHARMACY,INC.DBA SUNNYSIDE
Practice address
4811 Skillman Ave
Sunnyside, NY 11104-1025
Phone
(718) 729-1400
Fax
(718) 729-1406
NPI assigned
Apr 25, 2007
Last updated
Jun 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
David FishbainNPI 1336360601
Title
RPH
Phone
(787) 729-1400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 020254 NY Primary

Addresses

Primary practice location

4811 Skillman Ave
Sunnyside, NY 11104-1025

Mailing address

4811 Skillman Ave
Sunnyside, NY 11104-1025

Other identifiers 2

IdentifierTypeStateIssuer
3395565OtherOTHER ID NUMBER-COMMERCIAL NUMBER
3395565OtherOTHER ID NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1215156526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811 SKILLMAN AVE",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111041025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 SKILLMAN AVE",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111041025",
            "telephone_number": "718-729-1400",
            "fax_number": "718-729-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K.R.D.PHARMACY,INC.DBA SUNNYSIDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "FISHBAIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "RPH",
        "authorized_official_telephone_number": "787-729-1400"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "020254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3395565",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3395565",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.