Christopher Jeffrey Koretsky, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

030869 Issued in NY

Practice address

430 Jerusalem Ave
Hicksville, NY 11801-5504

Phone

(516) 937-7500

Fax

(516) 937-7500

NPI assigned

Dec 5, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Genovese Drug Stores Inc

  • Community/Retail Pharmacy
  • Hicksville, NY
  • NPI 1487753737
  NPD (past)

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196812800000",
    "number": "1376725093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 JERUSALEM AVE",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118015504",
            "telephone_number": "516-937-7500",
            "fax_number": "516-937-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 JERUSALEM AVE",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118015504",
            "telephone_number": "516-937-7500",
            "fax_number": "516-937-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORETSKY",
        "first_name": "CHRISTOPHER",
        "middle_name": "JEFFREY",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-05",
        "last_updated": "2007-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "030869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01877123",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bonnie Jane Koblenz, L.M.H.C
• Myles S Kobren, MD
• Beata Kobylska, RN
• Sharmin Kohinoor
• Arlene F. Kohn, D.P.M.
• Annetta Korszun, LPN
• Fiana Koshevatsky, LCSW
• Anu Kothari, MD
• Manisha B Kothari, P.T., D.P.T.
• Victoria Lynn Kowalsky

• Pharmacist in Hicksville, NY
• Providers in Hicksville, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.