Kerry Rubin, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

031013 Issued in NY

Practice address

455 Park Ave
Lindenhurst, NY 11757-5250

Phone

(631) 225-6230

Fax

(631) 956-7219

NPI assigned

Jan 12, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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

• King Kullen Pharmacy

  • Community/Retail Pharmacy
  • Lindenhurst, NY
  • NPI 1154479111
  NPD (past)

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231718400000",
    "number": "1285871392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 PARK AVE",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117575250",
            "telephone_number": "631-225-6230",
            "fax_number": "631-956-7219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 PARK AVE",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117575250",
            "telephone_number": "631-225-6230",
            "fax_number": "631-956-7219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "KERRY",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-12",
        "last_updated": "2009-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "031013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE NUMBER",
            "identifier": "031013",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alex Rosioreanu, MD
• Michelle Varda Rotblat-Operman, M.D.
• Wayne Roth, D.D.S.
• Jennifer Marie Rowland, MSW
• Deborah Marie-Lynn Rowlinson, LMHC
• Carrie Beth Russo, LCSW
• RVT Physical Therapy, P.C.
• S & S Child Care Development Inc
• S. C. Schwartz, D.D.S., PLLC
• S. C. Schwartz, D.D.S., PLLC

• Pharmacist in Lindenhurst, NY
• Providers in Lindenhurst, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; 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.