Kings Drug & Surgical Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

023120 Issued in NY

Legal business name

KINGS DRUG & SURGICAL CORP

Doing business as

Kings Pharmacy and Surgical

Practice address

492 Clarkson Ave
Brooklyn, NY 11203-2013

Phone

(718) 363-3300

Fax

(718) 363-2949

NPI assigned

Jun 22, 2006

Last updated

Oct 23, 2024By 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

Jitendra Patel

Title

President

Phone

(973) 517-4076

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• KINGS PHARMACY AND SURGICAL Doing business as

Medicare fee-for-service enrollment

Enrolled in NY3 enrollments

Enrollment records 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 5

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.

• Ronald Delgaudio, R. PH.

  • Pharmacist
  • Brooklyn, NY
  • NPI 1861659492
  NPD
• Roy David Greif, RPH.

  • Pharmacist
  • Brooklyn, NY
  • NPI 1194982546
  NPD
• Dmitri Belokon, RPH

  • Pharmacist
  • Brooklyn, NY
  • NPI 1184947525
  NPD (past)
• Malou De Los Santos, R.PH.

  • Pharmacist
  • Brooklyn, NY
  • NPI 1689907115
  NPD (past)
• Justina Theus, RPH

  • Pharmacist
  • Brooklyn, NY
  • NPI 1467188250
  NPD (past)

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1740226109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "492 CLARKSON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032013",
            "telephone_number": "718-363-3300",
            "fax_number": "718-363-2949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "492 CLARKSON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032013",
            "telephone_number": "718-363-3300",
            "fax_number": "718-363-2949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGS DRUG & SURGICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JITENDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-517-4076"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "023120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01691607",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2062556",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KINGS PHARMACY AND SURGICAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KINGS PHARMACY AND SURGICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kings Day Care, LLC
• Kings Dental PC
• Kings Dentistry PC
• Kings Diagnostics Inc
• Kings Diagnostics Medical PC
• Kings Eyewear Inc
• Kings Family Dentistry Ny PLLC (Kings Family Dentistry NY)
• Kings Family Dentistry PLLC
• Kings Highway Best Medical PC
• Kings Highway Chemists Inc (J Drugs II)

• Community/Retail Pharmacy in Brooklyn, NY
• Providers in Brooklyn, 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 Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.