Provider Demographics
NPI:1235455379
Name:SOKOL, KENNETH F (RPH)
Entity Type:Individual
Prefix:MR
First Name:KENNETH
Middle Name:F
Last Name:SOKOL
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75-59 263RD STREET
Mailing Address - Street 2:ATTN: PHARMACY DEPT.
Mailing Address - City:GLEN OAKS
Mailing Address - State:NY
Mailing Address - Zip Code:11004-1100
Mailing Address - Country:US
Mailing Address - Phone:718-470-8321
Mailing Address - Fax:718-831-2605
Practice Address - Street 1:75-59 263RD STREET
Practice Address - Street 2:ATTN: PHARMACY DEPT.
Practice Address - City:GLEN OAKS
Practice Address - State:NY
Practice Address - Zip Code:11004-1100
Practice Address - Country:US
Practice Address - Phone:718-470-8321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-14
Last Update Date:2010-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027591183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist