Yacob Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

YACOB PHARMACY INC

Doing business as

Kingston Pharmacy Inc

Practice address

1106 Saint Johns PL
Brooklyn, NY 11213-2699

Phone

(718) 221-4805

NPI assigned

May 30, 2013

Last updated

Nov 26, 2013By 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

Ismail Mohamed

Title

President

Phone

(727) 457-7539

Specialties & licenses 1

Addresses

Other names 1

• Kingston Pharmacy Inc Doing business as

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1801233960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 SAINT JOHNS PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112132699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 SAINT JOHNS PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112132699",
            "telephone_number": "718-221-4805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YACOB PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-30",
        "last_updated": "2013-11-26",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "ISMAIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-457-7539"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kingston Pharmacy Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gerardo Yablonovich, DDS
• Ganna Yablonska
• Benyamin S Yachnes
• Nissim Y Yachnes
• Andrew Charles Yacht, M.D.
• Ingrid Yacono
• Johanna Rose Yacono, NP
• Fadi Yacoub, MD
• Marie Yacoub
• Marina Yacoub, PHARMD

• 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 Nov 26, 2013; 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.