Kissena Drugs and Surgical Supply Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

027116 Issued in NY

Legal business name

KISSENA DRUGS AND SURGICAL SUPPLY INC

Practice address

72 63 Kissena Blvd
Flushing, NY 11367

Phone

(718) 793-7658

Fax

(718) 793-0576

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Parvin Rahman, PHD AND RPHNPI 1346576345

Title

Owner

Phone

(718) 793-7658

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• KISSENA DRUGS Doing business as

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

Locations

Practitioners 2

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

• Parvin Rahman, RPH

  • Pharmacist
  • Flushing, NY
  • NPI 1346576345
  NPD Authorized official
• Jie Fu Gao

  • Pharmacist
  • Flushing, NY
  • NPI 1194042341
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275436800000",
    "number": "1487709598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 63 KISSENA BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11367",
            "telephone_number": "718-793-7658",
            "fax_number": "718-793-0576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 63 KISSENA BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11367",
            "telephone_number": "718-793-7658",
            "fax_number": "718-793-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KISSENA DRUGS AND SURGICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2010-06-02",
        "status": "A",
        "authorized_official_last_name": "RAHMAN",
        "authorized_official_first_name": "PARVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-793-7658",
        "authorized_official_credential": "PHD AND RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "027116",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02618624",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3318513",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KISSENA DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kirin Transportation Inc
• Joshua Kirschenbaum
• Alissa Kirschner
• Cara Kirschner
• Kissena Dental Care PC
• Kissena Medical Imaging,P.C.
• Kissena Plaza Dental P.C.
• Kissena RX Pharmacy Inc
• Danyelle Kittrell, M.S.
• Rebecca H Kizhner, LCSW

• Community/Retail Pharmacy in Flushing, NY
• Providers in Flushing, 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 Jun 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.