Organization Active NPI

Al Kosto Inc

Doing business as Al Kosto Pharmacy Inc

  • Community/Retail Pharmacy
  • Jackson Heights, NY
National Provider Identifier
1407920937
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
025465 Issued in NY
Legal business name
AL KOSTO INC
Doing business as
Al Kosto Pharmacy Inc
Practice address
3765 90TH St
Jackson Heights, NY 11372-7829
Phone
(718) 446-2068
Fax
(718) 446-2068
NPI assigned
Nov 17, 2006
Last updated
Jan 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Authorized official

Name
Elena LunaNPI 1801119540
Title
President
Phone
(718) 446-2068

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 025465 NY Primary

Addresses

Primary practice location

3765 90TH St
Jackson Heights, NY 11372-7829

Mailing address

3765 90TH St
Jackson Heights, NY 11372-7829
Phone (718) 446-2068

Other identifiers 2

IdentifierTypeStateIssuer
2064332OtherPK
02318078MedicaidNY

Other names 1

  • AL KOSTO PHARMACY INC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20171115001501 NY Part B Supplier - Pharmacy 7810101573 Practice locations: Jackson Heights, NY
O20220107002035 NY Part B Supplier - Mass Immunization (Roster Biller Only) 7810101573 Practice locations: Jackson Heights, NY

National Provider Directory

National Provider Directory

Locations

3765 90th St
Jackson Heights, NY 11372
Phone (718) 446-2068

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": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642550400000",
    "number": "1407920937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3765 90TH ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727829",
            "telephone_number": "718-446-2068",
            "fax_number": "718-446-2068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3765 90TH ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727829",
            "telephone_number": "718-446-2068",
            "fax_number": "718-446-2068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AL KOSTO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A",
        "authorized_official_last_name": "LUNA",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-446-2068"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "025465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2064332",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02318078",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AL KOSTO PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AL KOSTO PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.