Kingsway Pharmacy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

024946 Issued in NY

Legal business name

KINGSWAY PHARMACY CORP

Doing business as

Family Drugstore

Practice address

1402 Kings Hwy
Brooklyn, NY 11229-2004

Phone

(718) 382-7700

Fax

(718) 645-8655

NPI assigned

Dec 4, 2006

Last updated

Mar 6, 2017By 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

Igor Moshchinsky

Title

President

Phone

(718) 382-7700

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Family Drugstore Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

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 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Liliya Khatamova, RPH

  • Pharmacist
  • Brooklyn, NY
  • NPI 1760669402
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1548338783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292004",
            "telephone_number": "718-382-7700",
            "fax_number": "718-645-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292004",
            "telephone_number": "718-382-7700",
            "fax_number": "718-645-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSWAY PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "MOSHCHINSKY",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-382-7700"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "024946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02120487",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2062841",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Drugstore",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rolicia Y Kingston
• Kingsway Car & Limo SVC Inc
• Kingsway Internal Medicine
• Kingsway Medical, PC
• Kingsway Orthopedic Professional Corporation
• Kinjal Patel MD PC
• Erry Kinlock
• Laverne Kinlock
• Yahaira Kinlock, RN
• Kathleen Marija Kinnavy, OTR/L

• 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 6, 2017; 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.