Organization Active NPI

Koch Pharmacy Corp

  • Pharmacy
  • Brooklyn, NY
National Provider Identifier
1982741377
Registry record updated Feb 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
025408 Issued in NY
Legal business name
KOCH PHARMACY CORP
Practice address
126 Wyckoff Ave
Brooklyn, NY 11237-4308
Phone
(718) 381-0120
Fax
(718) 381-5780
NPI assigned
Feb 1, 2007
Last updated
Feb 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2011

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

Authorized official

Name
Mr. Abu J Siddique, RPH
Title
Vice President Director of Pharmacy
Phone
(718) 381-0120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 025408 NY Primary

Addresses

Primary practice location

126 Wyckoff Ave
Brooklyn, NY 11237-4308

Mailing address

126 Wyckoff Ave
Brooklyn, NY 11237-4308
Phone (718) 381-0120

Other names 1

  • ELKOCH PHARMACY Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298592000000",
    "number": "1982741377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 WYCKOFF AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112374308",
            "telephone_number": "718-381-0120",
            "fax_number": "718-381-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 WYCKOFF AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112374308",
            "telephone_number": "718-381-0120",
            "fax_number": "718-381-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOCH PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2011-02-25",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUE",
        "authorized_official_first_name": "ABU",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "718-381-0120",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "025408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELKOCH PHARMACY",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Feb 25, 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.