Kings Hwy Pharmacy and Medical Supply Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

027329 Issued in NY

Legal business name

KINGS HWY PHARMACY AND MEDICAL SUPPLY INC

Practice address

1416 Kings Hwy
Brooklyn, NY 11229-2004

Phone

(718) 375-5757

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Igor Shoykhet, RPHNPI 1376865998

Title

RPH

Phone

(718) 375-5757

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

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

Tax ID family

Greenrx2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kings Hwy Pharmacy and Medical Supply Inc

  • Pharmacist
  • Brooklyn, NY
  • NPI 1386731560
  NPD tax ID

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Igor Shoykhet, RPH

  • Pharmacist
  • Brooklyn, NY
  • NPI 1376865998
  NPD Authorized official
• Olesia Ivanutenko, AUD

  • Audiologist
  • New York, NY
  • NPI 1952532970
  NPD (past)
• Natalya Kolomiets, PHARM. D.

  • Pharmacist
  • Brooklyn, NY
  • NPI 1346562733
  NPD (past)
• Yeva Pisarevsky, R.PH.

  • Pharmacist
  • Brooklyn, NY
  • NPI 1538619564
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520467200000",
    "number": "1467550319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1671 E 13TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291101",
            "telephone_number": "718-375-5757",
            "fax_number": "718-375-0364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292004",
            "telephone_number": "718-375-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGS HWY PHARMACY AND MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2018-03-08",
        "status": "A",
        "authorized_official_last_name": "SHOYKHET",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "RPH",
        "authorized_official_telephone_number": "718-375-5757",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "027329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2064708",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02673398",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kings Highway Podiatry PC
• Kings Highway Vision Express, LLC
• Kings Highway Womens Care
• Kings Homecare Agency
• Kings Hwy Pharmacy and Medical Supply Inc
• Kings Hwy RX Corp
• Kings Kemist Inc
• Kings Medical Care, P.C.
• Kings Medical Family Practice PC
• Kings Medical Group PC

• Community/Retail Pharmacy in Brooklyn, NY
• Providers in Brooklyn, 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 Mar 8, 2018; 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.