Active NPI
Kcaid Pharmacy Inc
Doing business as Preferred Pharmacy
- Long Term Care Pharmacy
- Brooklyn, NY
National Provider Identifier
1902555600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- KCAID PHARMACY INC
- Doing business as
- Preferred Pharmacy
- Practice address
- 1771 Broadway
Brooklyn, NY 11207-1611 - Phone
- (718) 872-7717
- NPI assigned
- Mar 21, 2022
- Organization subpart
- Yes
- Parent organization
- KCAID PHARMACY INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jim Kozlik
- Title
- Managing Director
- Phone
- (718) 872-7717
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
1771 Broadway
Brooklyn, NY 11207-1611
Mailing address
1771 Broadway
Brooklyn, NY 11207-1611
Phone (718) 872-7717
Other names 1
- Preferred Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Kcaid Pharmacy Inc
- Part of
- Kcaid Pharmacy Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
1771 Broadway
Brooklyn, NY 11207
Phone (718) 872-7717
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647820800000",
"number": "1902555600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1771 BROADWAY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112071611",
"telephone_number": "718-872-7717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1771 BROADWAY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112071611",
"telephone_number": "718-872-7717"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KCAID PHARMACY INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "KCAID PHARMACY INC",
"enumeration_date": "2022-03-21",
"last_updated": "2022-03-21",
"certification_date": "2022-03-21",
"status": "A",
"authorized_official_last_name": "KOZLIK",
"authorized_official_first_name": "JIM",
"authorized_official_title_or_position": "MANAGING DIRECTOR",
"authorized_official_telephone_number": "718-872-7717"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Preferred Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.