KMN Pharmacy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

024537 Issued in NY

Legal business name

KMN PHARMACY CORP

Practice address

255 E Gun Hill Rd
Bronx, NY 10467-2109

Phone

(718) 654-2200

Fax

(718) 515-9118

NPI assigned

Nov 8, 2005

Organization subpart

No

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

Authorized official

Name

Hira Desai

Title

President

Phone

(718) 654-2200

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• OVAL PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Dinesh Pharmacy Inc

  • Community/Retail Pharmacy
  • Bronx, NY
  • NPI 1740346626

  Member Of

  NPD member

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Dinesh Pharmacy Inc

  • Community/Retail Pharmacy
  • Bronx, NY
  • NPI 1740346626

  Member Of

  NPD member

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Bradley Ackerman, RPH

  • Pharmacist
  • Bronx, NY
  • NPI 1265680649
  NPD (past)
• Irina Aronova, PHARMD

  • Pharmacist
  • Bronx, NY
  • NPI 1528427903
  NPD (past)
• Ajay N Desai, PHARMD

  • Pharmacist
  • Bronx, NY
  • NPI 1770735722
  NPD (past)
• Pranav Gaglani

  • Pharmacist
  • Bronx, NY
  • NPI 1487817979
  NPD (past)
• Joohae Kim

  • Pharmacist
  • Bronx, NY
  • NPI 1174171508
  NPD (past)

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1821079617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 E GUN HILL RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672109",
            "telephone_number": "718-654-2200",
            "fax_number": "718-515-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 E GUN HILL RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672109",
            "telephone_number": "718-654-2200",
            "fax_number": "718-515-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMN PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-08",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "HIRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-654-2200"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "024537",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "024537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01932829",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3302421",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OVAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Irene Shane Klotz, LMSW CPT
• Jeanine Klotzkin, M.S., LCAT
• Vivian Klugah
• KMDS Inc
• KMN Pharmacy Corp
• Daoud Knabimdithasbani, DDS
• David Matthew-Lewis Knapp
• Aurimas Knepa, MD
• Douglas Andrew Knepper, L-MSW
• Knickerbocker Dialysis Inc

• Community/Retail Pharmacy in Bronx, NY
• Providers in Bronx, 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 Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.