Provider Demographics
NPI:1598852733
Name:KINGS HIGHWAY CHEMISTS INC
Entity Type:Organization
Organization Name:KINGS HIGHWAY CHEMISTS INC
Other - Org Name:J DRUGS II
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:EPSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:718-258-5858
Mailing Address - Street 1:3402 AVENUE N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-2607
Mailing Address - Country:US
Mailing Address - Phone:718-258-5858
Mailing Address - Fax:718-258-2600
Practice Address - Street 1:3402 AVENUE N
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-2607
Practice Address - Country:US
Practice Address - Phone:718-258-5858
Practice Address - Fax:718-258-2600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-09
Last Update Date:2016-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
NY0185393336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00885281Medicaid
2062371OtherPK
NY0232670001Medicare NSC