Active NPI
Kings Pharmacy LLC
- Durable Medical Equipment & Medical Supplies
- Newark, NJ
National Provider Identifier
1639398738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 28RS00528200
- Legal business name
- KINGS PHARMACY LLC
- Practice address
- 33 Park Ave
Newark, NJ 07104-1043 - Phone
- (973) 482-1556
- Fax
- (973) 482-1594
- NPI assigned
- Apr 25, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. George E. Malek, R.PH.
- Title
- President
- Phone
- (973) 482-1556
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 28RS00528200 | NJ | Primary |
Addresses
Primary practice location
33 Park Ave
Newark, NJ 07104-1043
Mailing address
PO Box 304
Cedar Grove, NJ 07009-0304
Phone (973) 482-1556
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6867111 | Medicaid | NJ |
National Provider Directory
National Provider Directory- Tax ID family
- Kings Pharmacy LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Newark, NJ
- NPI 1588975692
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Newark, NJ
- NPI 1457402620
-
- Pharmacist
- Newark, NJ
- NPI 1487191490
-
- Pharmacist
- Newark, NJ
- NPI 1174674337
-
- Pharmacist
- Newark, NJ
- NPI 1053884866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1639398738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 304",
"city": "CEDAR GROVE",
"state": "NJ",
"postal_code": "070090304",
"telephone_number": "973-482-1556",
"fax_number": "973-482-1594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 PARK AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071041043",
"telephone_number": "973-482-1556",
"fax_number": "973-482-1594"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KINGS PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-25",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MALEK",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "973-482-1556",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NJ",
"license": "28RS00528200",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6867111",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.