Kinetic Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

026558 Issued in NY

Legal business name

KINETIC PHARMACY INC.

Practice address

784 61St Street
Brooklyn, NY 11220-4337

Phone

(718) 686-7288

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Brian Liu

Title

President

Phone

(718) 686-7288

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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 4

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

• Samantha S Fung

  • Pharmacist
  • Brooklyn, NY
  • NPI 1497979876
  NPD
• Philip Peng

  • Pharmacist
  • Brooklyn, NY
  • NPI 1861672289
  NPD
• Jennie Ly

  • Pharmacist
  • Brooklyn, NY
  • NPI 1225307556
  NPD (past)
• Peiyuan Tong

  • Pharmacist
  • Brooklyn, NY
  • NPI 1568096832
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1598877060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 61ST STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 61ST STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204337",
            "telephone_number": "718-686-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINETIC PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-686-7288"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "026558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02533008",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abdoulaye Kindo
• Kindred RPN (Ny), PLLC
• Kindred Space Mental Health Counseling PLLC
• Mark William Kindschuh, MD
• Kinetic CHI Physical Therapy PLLC
• King County Hospital Center (Flatbush Family Practice)
• King David Center for Nursing and Rehabilitation Adhc
• King S Highway Transportation LLC (Rofe Ventures)
• King Solomon Limousine Corp
• Natasha Nicole King-Allen, M.S ED

• 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 Jan 15, 2013; 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.