Organization Active NPI

Kings Care Pharmacy and Store Inc.

  • Pharmacist
  • Bronx, NY
National Provider Identifier
1831569136
Registry record updated Oct 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
033700 Issued in NY
Legal business name
KINGS CARE PHARMACY AND STORE INC.
Practice address
306 E 149TH St
Bronx, NY 10451-5602
Phone
(718) 684-1595
NPI assigned
Sep 29, 2015
Last updated
Oct 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2015

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

Authorized official

Name
Dr. Osahon Evans Imafidon, PHARMACISTNPI 1013173632
Title
President
Phone
(718) 812-9654

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 033700 NY Primary

Addresses

Primary practice location

306 E 149TH St
Bronx, NY 10451-5602

Mailing address

1900 Crotona Ave FL 1
Bronx, NY 10457-6431
Phone (718) 410-8959

National Provider Directory

National Provider Directory

Locations

306 E 149th St
Bronx, NY 10451
Phone (347) 918-9337

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444262400000",
    "number": "1831569136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 CROTONA AVE FL 1",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104576431",
            "telephone_number": "718-410-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 E 149TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515602",
            "telephone_number": "718-684-1595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGS CARE PHARMACY AND STORE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-29",
        "last_updated": "2015-10-08",
        "status": "A",
        "authorized_official_last_name": "IMAFIDON",
        "authorized_official_first_name": "OSAHON",
        "authorized_official_middle_name": "EVANS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-812-9654",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "033700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; 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.