Kimtre Corp.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

KIMTRE CORP.

Doing business as

Center Pharmacy

Practice address

251 Main St
Fort Lee, NJ 07024-5709

Phone

(201) 947-5550

Fax

(201) 947-0514

NPI assigned

Oct 11, 2005

Organization subpart

No

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

Authorized official

Name

Mr. James C. Kim, RPH

Title

President

Phone

(201) 947-5550

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• CENTER PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

Tax ID family

Kimtre Corp2 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.

• Kimtre Corp.

  dba Center Pharmacy

  • Community/Retail Pharmacy
  • Fort Lee, NJ
  • NPI 1245749605
  NPD tax ID

Locations

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1568450765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 MAIN ST",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245709",
            "telephone_number": "201-947-5550",
            "fax_number": "201-947-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 MAIN ST",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245709",
            "telephone_number": "201-947-5550",
            "fax_number": "201-947-0514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMTRE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-11",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-947-5550",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "28RS00418400",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4399013",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4399005",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yeon Jung Kim
• Yoojin Kim, DDS
• Young Jin Kim, PT, DPT, CSCS
• Yunsam Kim
• Kimtre Corp. (Center Pharmacy)
• Miwako Kimura, D.D.S.
• Victoria Kiridzic
• Kleen Panda, LLC (LomyRx (Locate My Rx))
• Vanesa Kodra, PA-C
• Nicole Kogan

• Community/Retail Pharmacy in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.