Arlington Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

029813 Issued in NY

Legal business name

ARLINGTON PHARMACY INC.

Doing business as

K&K Pharmacy

Practice address

187 Mill St
Liberty, NY 12754-2000

Phone

(845) 747-4477

Fax

(845) 747-4482

NPI assigned

Dec 3, 2009

Last updated

May 6, 2023By 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

Samir Shah, RPHNPI 1710166699

Title

President

Phone

(845) 292-3430

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• K&K PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Samir K Shah, RPH

  • Pharmacist
  • Liberty, NY
  • NPI 1710166699

  O20100930081964

  Same enrollment

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.

• Samir K Shah, RPH

  • Pharmacist
  • Liberty, NY
  • NPI 1710166699
  Authorized official Same address or phone

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

{
    "created_epoch": "1259798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683331200000",
    "number": "1619205663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 MILL ST",
            "city": "LIBERTY",
            "state": "NY",
            "postal_code": "127542000",
            "telephone_number": "845-747-4477",
            "fax_number": "845-747-4482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 MILL ST",
            "city": "LIBERTY",
            "state": "NY",
            "postal_code": "127542000",
            "telephone_number": "845-747-4477",
            "fax_number": "845-747-4482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARLINGTON PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-03",
        "last_updated": "2023-05-06",
        "certification_date": "2023-05-06",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-292-3430",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "029813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03206782",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "K&K PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "K&K PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Delfin Balintec Alega Jr., P.T.
• Allmed, Inc
• Tatiana Alston
• Apple Care Inc.
• Paula Andrea Arbelaez, COTA
• Arlington Pharmacy Inc. (K & K Pharmacy Long-Term Care)
• Courtney Taylor Banks, OTR/L
• Ginette Maria Barbato
• Kathryn Irene Barbehenn, REGISTERED NURSE
• Lisa Ann Baumander, RPH

• Community/Retail Pharmacy in Liberty, NY
• Providers in Liberty, 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 May 6, 2023; 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.