Organization Active NPI

Kiosk Pharmacy Inc

  • Community/Retail Pharmacy
  • Flushing, NY
National Provider Identifier
1962431510
Registry record updated May 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
023416 Issued in NY
Legal business name
KIOSK PHARMACY INC
Practice address
4101 Kissena Blvd
Flushing, NY 11355-3138
Phone
(718) 463-2261
Fax
(718) 762-7740
NPI assigned
Jul 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2011

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

Authorized official

Name
James Wong
Title
President
Phone
(718) 463-2261

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 023416 NY Primary

Addresses

Primary practice location

4101 Kissena Blvd
Flushing, NY 11355-3138

Mailing address

4101 Kissena Blvd
Flushing, NY 11355-3138
Phone (718) 463-2261

Other identifiers 1

IdentifierTypeStateIssuer
01776136MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305590400000",
    "number": "1962431510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 KISSENA BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553138",
            "telephone_number": "718-463-2261",
            "fax_number": "718-762-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 KISSENA BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553138",
            "telephone_number": "718-463-2261",
            "fax_number": "718-762-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIOSK PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2011-05-17",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-463-2261"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "023416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01776136",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; 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.