Provider Type Icon

KMDS INC NPI 1235215542


NPI Information

NPI: 1235215542
Provider Name: KMDS INC

Doing Business As: GOODMAN PLAZA PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
3250 3RD AVE
BRONX, NY
ZIP 10456
Phone: (718) 842-0031
Get Directions

KMDS INC is a community/retail pharmacy pharmacy in Bronx, NY. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. KMDS INC NPI is 1235215542. The provider is registered as an organization entity type.
The provider Is Doing Business As Goodman Plaza Pharmacy.

The provider's business location address is:

3250 3RD AVE
BRONX, NY
ZIP 10456-743
Phone: (718) 842-0031
Fax: (718) 842-0129

The provider's authorized official is Sudarsana Varma Uddaraju .
The authorized official title is Supervising Pharmacist and has the following contact phone number (718) 842-0031.

The enumeration date for this NPI number is 10/29/2006 and was last updated on 10/18/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail Pharmacy025129NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13379876OTHERNEW YORKPHARMACY NCPDP NUMBER
25525330001MEDICARE NSCNEW YORK
302239169MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.