Kings Bay Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

024707 Issued in NY

Legal business name

KINGS BAY PHARMACY

Doing business as

Super Value Drugs

Practice address

2927 Avenue S
Brooklyn, NY 11229-3231

Phone

(718) 998-6200

Fax

(718) 998-6840

NPI assigned

Aug 18, 2006

Organization subpart

No

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

Authorized official

Name

Barry Beslkin

Title

President

Phone

(718) 998-6200

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• SUPER VALUE DRUGS Doing business as

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303430400000",
    "number": "1467566430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2927 AVENUE S",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293231",
            "telephone_number": "718-998-6200",
            "fax_number": "718-998-6840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2927 AVENUE S",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293231",
            "telephone_number": "718-998-6200",
            "fax_number": "718-998-6840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGS BAY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2011-04-22",
        "status": "A",
        "authorized_official_last_name": "BESLKIN",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-998-6200"
    },
    "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": "024707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3314058",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02060066",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUPER VALUE DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wekesa King' Asia, M.D.
• Christopher Kingman, LCSW
• Kings 7TH Ave Pharmacy Inc (Kings Pharmacy)
• Kings Adult Care Center, LLC
• Kings Bay Chemists Inc
• Kings Bay Ym-Ywha
• Kings Care Centers Corp
• Kings Chiropractic PC
• Kings Community Center Inc
• Kings County Hospital

• 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 Apr 22, 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.