Organization Active NPI

Kudegra Pharmacy Inc

  • Pharmacy
  • Brooklyn, NY
National Provider Identifier
1699338657
Registry record updated Apr 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
KUDEGRA PHARMACY INC
Practice address
669 Grand St
Brooklyn, NY 11211-4803
Phone
(718) 916-7597
NPI assigned
Apr 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2019

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

Authorized official

Name
Mrs. Iryna Kava
Title
President
Phone
(718) 916-7597

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

669 Grand St
Brooklyn, NY 11211-4803

Mailing address

669 Grand St
Brooklyn, NY 11211-4803
Phone (718) 963-1018

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555372800000",
    "number": "1699338657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "669 GRAND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112114803",
            "telephone_number": "718-963-1018",
            "fax_number": "718-963-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 GRAND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112114803",
            "telephone_number": "718-916-7597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUDEGRA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-16",
        "last_updated": "2019-04-16",
        "status": "A",
        "authorized_official_last_name": "KAVA",
        "authorized_official_first_name": "IRYNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-916-7597",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; 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.