Kiryas Joel Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

018644 Issued in NY

Legal business name

KIRYAS JOEL PHARMACY INC

Practice address

51 Forest Rd Ste 211
Monroe, NY 10950-2936

Phone

(845) 783-5787

Fax

(845) 783-7446

NPI assigned

Jun 20, 2006

Organization subpart

No

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

Authorized official

Name

Robert Kolinsky

Title

Pic

Phone

(845) 783-3399

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• KIRYAS JOEL PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Tax ID family

Kiryas Joel Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kiryas Joel Pharmacy Inc

  • Long Term Care Pharmacy
  • Monroe, NY
  • NPI 1508619115
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Swapna Ann George, PHARMD

  • Pharmacist
  • Kiryas Joel, NY
  • NPI 1114879319
  NPD (past)
• Robert Stoller, RPH

  • Pharmacist
  • Monroe, NY
  • NPI 1295969483
  NPD (past)

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468540800000",
    "number": "1215973136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 FOREST RD STE 211",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109502936",
            "telephone_number": "845-783-5787",
            "fax_number": "845-783-7446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 FOREST RD STE 211",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109502936",
            "telephone_number": "845-783-5787",
            "fax_number": "845-783-7446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRYAS JOEL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2016-07-15",
        "status": "A",
        "authorized_official_last_name": "KOLINSKY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "845-783-3399"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "018644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2063464",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00894404",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KIRYAS JOEL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chastity Kiely
• Dan Daeyong Kim, RPH
• Gary Kinstlinger, PH.D.
• Taylor Kirk
• Kiryas Joel Community Ambulance
• Kiryas Joel Pharmacy Inc
• Kiryas Joel Union Fee School
• Kiryas Joel Union Free School
• Kiryas Joel Village U F S D
• Kiryas Joel Volunteer Emergency Medical Services Inc

• Community/Retail Pharmacy in Monroe, NY
• Providers in Monroe, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; 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.