Kesef Pharmacy,Inc.

Primary specialty

PharmacistTaxonomy code 183500000X

License

021265 Issued in NY

Legal business name

KESEF PHARMACY,INC.

Practice address

19505 69TH Ave
Fresh Meadows, NY 11365-4030

Phone

(718) 454-8686

Fax

(718) 454-6083

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Penny Gopstein

Title

Owner

Phone

(718) 454-8686

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306929914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19505 69TH AVE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113654030",
            "telephone_number": "718-454-8686",
            "fax_number": "718-454-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19505 69TH AVE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113654030",
            "telephone_number": "718-454-8686",
            "fax_number": "718-454-6083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KESEF PHARMACY,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOPSTEIN",
        "authorized_official_first_name": "PENNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-454-8686",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "021265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02586318",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Joseph Ariel Khafi, DDS
• Daniel Khaimov, M.D.
• Yuriy Khaimov, P.T
• Tasadaq Khan Khakwani, D.D.S

• Pharmacist in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.