Kevin J. Raftery

Primary specialty

PharmacistTaxonomy code 183500000X

License

046427 Issued in NY

Practice address

3217 Beach Channel Dr # a
Far Rockaway, NY 11691-1502

Phone

(718) 868-2200

Fax

(718) 868-1518

NPI assigned

Sep 11, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 99 C & Pharmacy, Inc.

  dba Smartshop Pharmacy

  • Pharmacy
  • Far Rockaway, NY
  • NPI 1083745855
  NPD (past)
• Smartshop Pharmacy Inc

  • Pharmacy
  • Far Rockaway, NY
  • NPI 1083060370
  NPD (past)

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347321600000",
    "number": "1720338429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3217 BEACH CHANNEL DR # A",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116911502",
            "telephone_number": "718-868-2200",
            "fax_number": "718-868-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3217 BEACH CHANNEL DR # A",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116911502",
            "telephone_number": "718-868-2200",
            "fax_number": "718-868-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFTERY",
        "first_name": "KEVIN",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-11",
        "last_updated": "2012-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "046427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Queens Ophthalmology PC
• Queens Pediatric Services, P.C.
• Leidy Johana Quintero Quintero, MD
• Stephanie Joann Quito, LMSW
• Hassan Tariq Qureshi, M.D.
• Jennifer Ragona, M.S.ED.
• Sajedur Rahman
• Raines Optical Company, LLC (Wavecrest Optical Shop)
• Raines Optical Company, LLC (Wavecrest Optical Shop)
• Rajbir S. Chopra Physician, P.C.

• Pharmacist in Far Rockaway, NY
• Providers in Far Rockaway, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; 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.