Active NPI
Kings Bay Chemists Inc
- Community/Retail Pharmacy
- Brooklyn, NY
National Provider Identifier
1306940366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 017076
- Legal business name
- KINGS BAY CHEMISTS INC
- Practice address
- 3610 Nostrand Ave
Brooklyn, NY 11229-5203 - Phone
- (718) 891-3447
- Fax
- (718) 891-9378
- NPI assigned
- Sep 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Larry Birnbaum
- Title
- Pres
- Phone
- (718) 891-9300
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 017076 | NY | Primary |
Addresses
Primary practice location
3610 Nostrand Ave
Brooklyn, NY 11229-5203
Mailing address
3610 Nostrand Ave
Brooklyn, NY 11229-5203
Phone (718) 891-3447
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2060986 | Other | PK | |
| 00593453 | Medicaid | NY |
Other names 1
- KINGS BAY CHEMISTS INC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930032043 | NY | DME Supplier - Pharmacy | 1254458532 | Practice locations: Brooklyn, NY |
| O20210701000810 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 1254458532 | Practice locations: Brooklyn, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Kings Bay Chemists Inc | Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Negative Pressure Wound Therapy Pumps/Supplies|Neuromuscular Elect Stimulators (NMES)/Supplies|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Trac… | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
3610 Nostrand Ave
Brooklyn, NY 11229
Phone (718) 891-3447
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Brooklyn, NY
- NPI 1861724890
-
- Pharmacist
- Brooklyn, NY
- NPI 1043484058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1479772800000",
"number": "1306940366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3610 NOSTRAND AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112295203",
"telephone_number": "718-891-3447",
"fax_number": "718-891-9378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3610 NOSTRAND AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112295203",
"telephone_number": "718-891-3447",
"fax_number": "718-891-9378"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KINGS BAY CHEMISTS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-12",
"last_updated": "2016-11-22",
"status": "A",
"authorized_official_last_name": "BIRNBAUM",
"authorized_official_first_name": "LARRY",
"authorized_official_title_or_position": "PRES",
"authorized_official_telephone_number": "718-891-9300"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "017076",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2060986",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00593453",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "KINGS BAY CHEMISTS INC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.