Active NPI
Koch Pharmacy Corp
- Pharmacy
- Brooklyn, NY
National Provider Identifier
1982741377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 025408
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Cardiovascular Disease Physician
- Brooklyn, NY
- NPI 1689765901
-
- Hematology & Oncology Physician
- Brooklyn, NY
- NPI 1871560987
-
- Podiatrist
- Glendale, NY
- NPI 1124112255
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.