Organization Active NPI

Kings Third Ave. Pharmacy LLC

Doing business as Kings Pharmacy

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1649289067
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
025191 Issued in NY
Legal business name
KINGS THIRD AVE. PHARMACY LLC
Doing business as
Kings Pharmacy
Practice address
1619 3Rd Ave
New York, NY 10128-3459
Phone
(212) 534-6000
Fax
(212) 534-6300
NPI assigned
Aug 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Rebecca Massachi
Title
Clinical Pharmacist
Phone
(718) 230-3535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 025191 NY Primary

Addresses

Primary practice location

1619 3Rd Ave
New York, NY 10128-3459

Mailing address

1619 3Rd Ave
New York, NY 10128-3459
Phone (212) 534-6000

Other identifiers 3

IdentifierTypeStateIssuer
02216342MedicaidNY
039773OtherNYNYS LICENSE
3324112OtherNYCURRENT NABP #

Other names 1

  • KINGS PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

1619 3rd Ave
New York, NY 10128
Phone (212) 410-5001

Practitioners & affiliated clinicians

Practitioners 7

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": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1649289067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101283459",
            "telephone_number": "212-534-6000",
            "fax_number": "212-534-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101283459",
            "telephone_number": "212-534-6000",
            "fax_number": "212-534-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGS THIRD AVE. PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2023-03-07",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "MASSACHI",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "CLINICAL PHARMACIST",
        "authorized_official_telephone_number": "718-230-3535"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "025191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02216342",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "039773",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CURRENT NABP #",
            "identifier": "3324112",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KINGS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KINGS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.