KMS Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

031004 Issued in NY

Legal business name

KMS PHARMACY INC

Practice address

4902 Queens Blvd
Woodside, NY 11377-4444

Phone

(718) 205-0550

Fax

(718) 205-0551

NPI assigned

Nov 30, 2011

Organization subpart

No

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

Authorized official

Name

Suvasini Patel

Title

President

Phone

(718) 205-0550

Specialties & licenses 1

Addresses

Other names 1

• Woodside Pharmacy Doing business as

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1437426715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4902 QUEENS BLVD",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774444",
            "telephone_number": "718-205-0550",
            "fax_number": "718-205-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4902 QUEENS BLVD",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774444",
            "telephone_number": "718-205-0550",
            "fax_number": "718-205-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SUVASINI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-205-0550"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "031004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodside Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sua Kim
• Tracy Kim, DMD
• Cheryl P Kimler
• Lindsey Kinnard, COTA/L
• Claire Klinger
• Kang H Ko, S.P
• Mehrzad Kohansieh, DC
• Youngki Kong
• Padmaja Mohan Kothekar, M.SC. OTR/L
• Angela Koutas

• Community/Retail Pharmacy in Woodside, NY
• Providers in Woodside, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.