Organization Active NPI

Kefalos Pharmacy Inc

Doing business as Village Pharmacy

  • Pharmacy
  • Whitestone, NY
National Provider Identifier
1336628569
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
KEFALOS PHARMACY INC
Doing business as
Village Pharmacy
Practice address
1227A 150TH St
Whitestone, NY 11357-1747
Phone
(347) 732-4772
Fax
(347) 732-4532
NPI assigned
Aug 8, 2018
Last updated
Apr 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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

Authorized official

Name
Mr. Dimitrios Lymberatos
Title
Owner/ President
Phone
(646) 476-1881

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 057429 NY
Pharmacy 333600000X NU Primary

Addresses

Primary practice location

1227A 150TH St
Whitestone, NY 11357-1747

Mailing address

1227 150TH St
Whitestone, NY 11357-1747
Phone (347) 732-4772

Other names 1

  • Village Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

1227 150th St
Whitestone, NY 11357
Phone (347) 732-4772

1227A 150th St
Whitestone, NY 11357
Phone (347) 732-4772

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554336000000",
    "number": "1336628569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 150TH ST",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113571747",
            "telephone_number": "347-732-4772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227A 150TH ST",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113571747",
            "telephone_number": "347-732-4772",
            "fax_number": "347-732-4532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEFALOS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-08",
        "last_updated": "2019-04-04",
        "status": "A",
        "authorized_official_last_name": "LYMBERATOS",
        "authorized_official_first_name": "DIMITRIOS",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "646-476-1881",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "057429",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Whitestone, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; 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.