KS Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

KS PHARMACY LLC

Doing business as

Plaza Pharmacy

Practice address

1914 Bergenline Ave
Union City, NJ 07087-3304

Phone

(201) 844-6626

NPI assigned

Mar 6, 2025

Organization subpart

No

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

Authorized official

Name

Keerthi Manose KondamuriNPI 1619454410

Title

Member

Phone

(201) 844-6626

Specialties & licenses 1

Addresses

Other names 1

• PLAZA PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

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 3

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.

• Keerthi Manose Kondamuri

  • Pharmacist
  • Union City, NJ
  • NPI 1619454410
  NPD Authorized official
• Juan A. Alvarez, RPH

  • Pharmacist
  • Union City, NJ
  • NPI 1871817957
  NPD (past)
• Rene Dehombre, RPH

  • Pharmacist
  • Union City, NJ
  • NPI 1760724082
  NPD (past)

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

{
    "created_epoch": "1741219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1346048287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 BERGENLINE AVE",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070873304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 BERGENLINE AVE",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070873304",
            "telephone_number": "201-844-6626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-06",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-05",
        "status": "A",
        "authorized_official_last_name": "KONDAMURI",
        "authorized_official_first_name": "KEERTHI MANOSE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "201-844-6626"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PLAZA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Phillip Thomas Knight, D.O.
• Igor Kofman, M.D.
• Tal Kohn, DMD
• Keerthi Manose Kondamuri
• Nagesh B. Krish, M.D., P.A.
• Anjali Kumar
• Kwickmed Farmacia LLC (Kwickmed Farmacia)
• La Farmacia
• Ismari E Labrada, D.D.S.
• Maite Lasaga-Ayala, PHD

• Community/Retail Pharmacy in Union City, NJ
• Providers in Union City, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.