Organization Active NPI

San Remo Super Pharmacy Inc.

  • Community/Retail Pharmacy
  • Kings Park, NY
National Provider Identifier
1568765196
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SAN REMO SUPER PHARMACY INC.
Practice address
629 E Main St
Kings Park, NY 11754-3407
Phone
(631) 265-6404
Fax
(631) 265-6094
NPI assigned
Dec 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2010

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

Authorized official

Name
Henry F. Kahn
Title
President
Phone
(631) 265-6404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

629 E Main St
Kings Park, NY 11754-3407

Mailing address

629 E Main St
Kings Park, NY 11754-3407
Phone (631) 265-6404

Other names 1

  • SAN REMO PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

629 E Main St
Kings Park, NY 11754
Phone (631) 265-6404

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": "1292889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292889600000",
    "number": "1568765196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 E MAIN ST",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117543407",
            "telephone_number": "631-265-6404",
            "fax_number": "631-265-6094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 E MAIN ST",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117543407",
            "telephone_number": "631-265-6404",
            "fax_number": "631-265-6094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN REMO SUPER PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-21",
        "last_updated": "2010-12-21",
        "status": "A",
        "authorized_official_last_name": "KAHN",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-265-6404"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAN REMO PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kings Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; 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.