Kings Park Slope LLC

Primary specialty

PharmacistTaxonomy code 183500000X

License

32971 Issued in NY

Legal business name

KINGS PARK SLOPE LLC

Doing business as

PRIMA

Practice address

8 E 41St St
New York, NY 10017-0040

Phone

(718) 230-3535

Fax

(718) 230-0596

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

James Tedori

Title

Ceo

Phone

(718) 230-3535

Specialties & licenses 6

Addresses

Other identifiers 1

Other names 1

• PRIMA Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 2

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

• Rebecca Abraham, PHARM.D

  • Pharmacist
  • New York, NY
  • NPI 1073914453
  NPD
• Ronald Delgaudio, R. PH.

  • Pharmacist
  • Brooklyn, NY
  • NPI 1861659492
  NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1942311329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 E 41ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100170040",
            "telephone_number": "718-230-3535",
            "fax_number": "718-230-0596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 E 41ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100170040",
            "telephone_number": "718-230-3535",
            "fax_number": "718-230-0596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGS PARK SLOPE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A",
        "authorized_official_last_name": "TEDORI",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-230-3535"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "32971",
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01014942",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRIMA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natalie Dee Kinghorn, P.T.
• Sydney Kingman, RPA-C
• Kings and Queens Optometry P.C.
• Kings Bay Medical Health P.C.
• Kings County Plastic Surgery Services, P.C.
• Kings Third Ave. Pharmacy LLC
• Kings Tribeca Phamacy Inc
• Laneice S Kingsberry
• Kingsbridge RX Pharmacy Inc
• Dallas Jordan Kingsbury, M.D.

• Pharmacist in New York, NY
• Providers in New York, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.