KMDS Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

025129 Issued in NY

Legal business name

KMDS INC

Practice address

3250 3Rd Ave
Bronx, NY 10456-6743

Phone

(718) 842-0031

Fax

(718) 842-0129

NPI assigned

Oct 29, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Sudarsana Varma Uddaraju, B.S.

Title

Supervising Pharmacist

Phone

(718) 842-0031

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• goodman plaza pharmacy Doing business as

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

{
    "created_epoch": "1162080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1235215542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 3RD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104566743",
            "telephone_number": "718-842-0031",
            "fax_number": "718-842-0129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 3RD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104566743",
            "telephone_number": "718-842-0031",
            "fax_number": "718-842-0129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-29",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "UDDARAJU",
        "authorized_official_first_name": "SUDARSANA",
        "authorized_official_middle_name": "VARMA",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "718-842-0031",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "025129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY NCPDP NUMBER",
            "identifier": "3379876",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02239169",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "goodman plaza pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeremy Klopman, M.D.
• Deborah Klotz
• Irene Shane Klotz, LMSW CPT
• Jeanine Klotzkin, M.S., LCAT
• Vivian Klugah
• KMN Pharmacy Corp
• KMN Pharmacy Corp
• Daoud Knabimdithasbani, DDS
• David Matthew-Lewis Knapp
• Aurimas Knepa, MD

• Community/Retail Pharmacy in Bronx, NY
• Providers in Bronx, 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 Oct 18, 2007; 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.