Organization Active NPI

Kassel Pharmacy LTD

  • Pharmacy
  • Queens Village, NY
National Provider Identifier
1790880557
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
016765 Issued in NY
Legal business name
KASSEL PHARMACY LTD
Practice address
21811 Jamaica Ave
Queens Village, NY 11428-2124
Phone
(718) 464-0200
Fax
(718) 468-2493
NPI assigned
Sep 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2008

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

Authorized official

Name
Mr. Peter S Kassel
Title
VP
Phone
(718) 464-0200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 016765 NY Primary

Addresses

Primary practice location

21811 Jamaica Ave
Queens Village, NY 11428-2124

Mailing address

21811 Jamaica Ave
Queens Village, NY 11428-2124
Phone (718) 464-0200

Other identifiers 1

IdentifierTypeStateIssuer
00262620MedicaidNY

National Provider Directory

National Provider Directory

Locations

21811 Jamaica Ave
Queens Vlg, NY 11428
Phone (718) 464-0200

Practitioners & affiliated clinicians

Practitioners 2

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": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1790880557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21811 JAMAICA AVE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114282124",
            "telephone_number": "718-464-0200",
            "fax_number": "718-468-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21811 JAMAICA AVE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114282124",
            "telephone_number": "718-464-0200",
            "fax_number": "718-468-2493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KASSEL PHARMACY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "KASSEL",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "718-464-0200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "016765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00262620",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Queens Village, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; 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.