Kingdom RX Corp

Primary specialty

PharmacyTaxonomy code 333600000X

License

030359 Issued in NY

Legal business name

KINGDOM RX CORP

Practice address

3131 E Tremont Ave
Bronx, NY 10461-5719

Phone

(718) 822-5900

Fax

(718) 822-5909

NPI assigned

Oct 18, 2010

Organization subpart

No

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

Authorized official

Name

Yitzchok Sulimanov, PHARMD

Title

Pharmacist/Owner

Phone

(917) 455-6788

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• TREMONT CHEMIST Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

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

• Yakov Yusupov, PHARMD

  • Pharmacist
  • Bronx, NY
  • NPI 1922320753
  NPD

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1285944744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104615719",
            "telephone_number": "718-822-5900",
            "fax_number": "718-822-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104615719",
            "telephone_number": "718-822-5900",
            "fax_number": "718-822-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM RX CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "SULIMANOV",
        "authorized_official_first_name": "YITZCHOK",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "917-455-6788",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "030359",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2127240",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3291334",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TREMONT CHEMIST",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandra K King, R.N.
• Shekena R King
• Stephanie King, OT
• Veronica King, PHD
• Winsome Pamela King
• Kingraj Pharmacy Inc
• Kings Bronx, Inc
• Kings Care Pharmacy and Store Inc.
• Kings Drugs Inc
• Kings Drugs Inc

• Pharmacy in Bronx, NY
• Providers in Bronx, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.