Active NPI
Kimtre Corp.
Doing business as Center Pharmacy
- Community/Retail Pharmacy
- Fort Lee, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 28RS00418400
- Legal business name
- KIMTRE CORP.
- Doing business as
- Center Pharmacy
- Practice address
- 251 Main St
Fort Lee, NJ 07024-5709 - Phone
- (201) 947-5550
- Fax
- (201) 947-0514
- NPI assigned
- Sep 28, 2017
- Last updated
- Jul 21, 2022
- 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
- James C Kim, RPH.
- Title
- President/Owner
- Phone
- (201) 947-5550
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 28RS00418400 | NJ | Primary |
Addresses
Primary practice location
251 Main St
Fort Lee, NJ 07024-5709
Mailing address
251 Main St
Fort Lee, NJ 07024-5709
Phone (201) 947-5550
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4399005 | Medicaid | NJ | |
| 4399013 | Medicaid | NJ |
Other names 1
- Center Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Kimtre Corp
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the 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.
-
- Pharmacist
- Fort Lee, NJ
- NPI 1992082218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506556800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1245749605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 MAIN ST",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070245709",
"telephone_number": "201-947-5550",
"fax_number": "201-947-0514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 MAIN ST",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070245709",
"telephone_number": "201-947-5550",
"fax_number": "201-947-0514"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIMTRE CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-28",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "201-947-5550",
"authorized_official_credential": "RPH."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NJ",
"license": "28RS00418400",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4399005",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4399013",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Center Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Fort Lee, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.