K Drug Depot Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

K DRUG DEPOT INC.

Practice address

1104 Avenue K FL 1
Brooklyn, NY 11230-4118

Phone

(347) 374-5046

NPI assigned

Jul 27, 2023

Last updated

Jul 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shlomo Mashiyev

Title

President

Phone

(347) 374-5046

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690416000000",
    "number": "1477234870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 AVENUE K FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112304118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 AVENUE K FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112304118",
            "telephone_number": "347-374-5046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K DRUG DEPOT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A",
        "authorized_official_last_name": "MASHIYEV",
        "authorized_official_first_name": "SHLOMO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-374-5046"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Jul 27, 2023; 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.