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

Last updated

Jan 12, 2009By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

Practice roles

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

• 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": [],
    "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 (Lindenhurst Orthodontics)
• S. C. Schwartz, D.D.S., PLLC (Magic Smiles for Kids)

• 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.