Organization Active NPI

King Community Pharmacy Inc.

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1295125102
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
KING COMMUNITY PHARMACY INC.
Practice address
165 Dreiser Loop
Bronx, NY 10475-2703
Phone
(347) 899-8020
NPI assigned
Jan 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Authorized official

Name
Sumbal Asif
Title
GM
Phone
(347) 899-8020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

165 Dreiser Loop
Bronx, NY 10475-2703

Mailing address

165 Dreiser Loop
Bronx, NY 10475-2703

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150902000385 NY DME Supplier - Pharmacy 2365758695 Practice locations: Bronx, NY
O20151209001510 NY Part B Supplier - Mass Immunization (Roster Biller Only) 2365758695 Practice locations: Bronx, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
King Community Pharmacy Inc165 Dreiser Loop, Bronx, NY 10475-2703(347) 899-8020 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Sep 20, 2015

National Provider Directory

National Provider Directory
Tax ID family
King Community Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

165 Dreiser Loop
Bronx, NY 10475
Phone (347) 899-8020

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1295125102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 DREISER LOOP",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104752703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 DREISER LOOP",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104752703",
            "telephone_number": "347-899-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING COMMUNITY PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-29",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "ASIF",
        "authorized_official_first_name": "SUMBAL",
        "authorized_official_title_or_position": "GM",
        "authorized_official_telephone_number": "347-899-8020"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.