Organization Active NPI

Kiryas Joel Pharmacy Inc

  • Long Term Care Pharmacy
  • Monroe, NY
National Provider Identifier
1508619115
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
KIRYAS JOEL PHARMACY INC
Practice address
51 Forest Rd Ste 211
Monroe, NY 10950-2936
Phone
(845) 783-3399
NPI assigned
Apr 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Authorized official

Name
Mr. Samuel Kahan
Title
President
Phone
(845) 783-3399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

51 Forest Rd Ste 211
Monroe, NY 10950-2936

Mailing address

51 Forest Rd Ste 211
Monroe, NY 10950-2936
Phone (845) 783-3399

Other practice location 1

51 Forest Rd Ste 211
Monroe, NY 10950-2936
Phone (845) 783-3399

National Provider Directory

National Provider Directory
Tax ID family
Kiryas Joel Pharmacy Inc2 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.

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1712793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1508619115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 FOREST RD STE 211",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109502936",
            "telephone_number": "845-783-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 FOREST RD STE 211",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109502936",
            "telephone_number": "845-783-3399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51 Forest Rd Ste 211",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "NY",
            "postal_code": "109502936",
            "country_code": "US",
            "telephone_number": "845-783-3399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIRYAS JOEL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-11",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "KAHAN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-783-3399",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.