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KOCH PHARMACY CORP NPI 1982741377


NPI Information

NPI: 1982741377
Provider Name: KOCH PHARMACY CORP

Former Legal Business Name: ELKOCH PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
126 WYCKOFF AVE
BROOKLYN, NY
ZIP 11237
Phone: (718) 381-0120
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KOCH PHARMACY CORP is a pharmacy in Brooklyn, NY. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. KOCH PHARMACY CORP NPI is 1982741377. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Elkoch Pharmacy.

The provider's business location address is:

126 WYCKOFF AVE
BROOKLYN, NY
ZIP 11237-308
Phone: (718) 381-0120
Fax: (718) 381-5780

The provider's authorized official is Abu J Siddique .
The authorized official title is Vice President Director Of Pharmacy and has the following contact phone number (718) 381-0120.

The enumeration date for this NPI number is 2/1/2007 and was last updated on 2/25/2011.


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
1333600000XPharmacy025408NEW 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
14580630001MEDICARE NSCNEW YORK
202248873MEDICAIDNEW 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

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