Active NPI
Al Kosto Inc
Doing business as Al Kosto Pharmacy Inc
- Community/Retail Pharmacy
- Jackson Heights, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 025465
- 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, 2022
- 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
- Elena Luna
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2064332 | Other | PK | |
| 02318078 | Medicaid | NY |
Other names 1
- AL KOSTO PHARMACY 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 |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Pharmacist
- Jackson Heights, NY
- NPI 1801119540
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.