Active NPI
Martin Kohn, R.PH.
- Pharmacist
- Rockaway Beach, NY
National Provider Identifier
1902183692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 044075
- Practice address
- 8807 Rockaway Beach Blvd
Rockaway Beach, NY 11693-1600 - Phone
- (718) 318-2700
- NPI assigned
- Nov 8, 2011
- Reactivated
- Jun 25, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 044075 | NY | Primary |
Addresses
Primary practice location
8807 Rockaway Beach Blvd
Rockaway Beach, NY 11693-1600
Mailing address
1176 Broadway
Hewlett, NY 11557-2322
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Albany LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Brooklyn, RI
- NPI 1679459481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593043200000",
"number": "1902183692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1176 BROADWAY",
"city": "HEWLETT",
"state": "NY",
"postal_code": "115572322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8807 ROCKAWAY BEACH BLVD",
"city": "ROCKAWAY BEACH",
"state": "NY",
"postal_code": "116931600",
"telephone_number": "718-318-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOHN",
"first_name": "MARTIN",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-08",
"last_updated": "2020-06-25",
"certification_date": "2020-06-25",
"deactivation_date": "2013-02-28",
"reactivation_date": "2020-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "044075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockaway Beach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.