Kings Pharmacy LLC

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

License

28RS00528200 Issued in NJ

Legal business name

KINGS PHARMACY LLC

Doing business as

Kings Pharmacy & Surgical Supply

Practice address

33 Park Ave
Newark, NJ 07104-1043

Phone

(973) 482-1556

Fax

(973) 482-1594

NPI assigned

Sep 17, 2006

Last updated

Jun 12, 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

Mr. George E. Malek, R.PH.NPI 1457402620

Title

President

Phone

(973) 482-1556

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Kings Pharmacy & Surgical Supply Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 4

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.

• George E. Malek, R.PH.

  • Pharmacist
  • Newark, NJ
  • NPI 1457402620
  NPD (past) Authorized official
• Afraim Botros, RPH

  • Pharmacist
  • Newark, NJ
  • NPI 1487191490
  NPD (past)
• Nicholas Capobianco, R.PH.

  • Pharmacist
  • Newark, NJ
  • NPI 1174674337
  NPD (past)
• Maged Messeha

  • Pharmacist
  • Newark, NJ
  • NPI 1053884866
  NPD (past)

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370995200000",
    "number": "1881791549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 304",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070090304",
            "telephone_number": "973-482-1556",
            "fax_number": "973-482-1594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 PARK AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071041043",
            "telephone_number": "973-482-1556",
            "fax_number": "973-482-1594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2013-06-12",
        "status": "A",
        "authorized_official_last_name": "MALEK",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-482-1556",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00528200",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NJ",
            "license": "28RS00528200",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NJ",
            "license": "28RS00528200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6867111",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6867103",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kings Pharmacy & Surgical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tamara King-Morrieson, APN
• Jennifer Danielle King, OTR
• Rachel L King, D.D.S.
• Kings Pharmacy LLC
• Kings Pharmacy LLC
• Jacquelyn Renee Kinney, MD
• Kinova Physical Therapy PC
• Kinship Home Care LLC
• Joseph Kiper, RN
• Kipp Cooper Norcross, a New Jersey Nonprofit Corporation

• Specialty Pharmacy in Newark, NJ
• Providers in Newark, NJ by specialty
• Specialty Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; 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.