Provider Demographics
NPI:1710413109
Name:KINGS 7TH AVE PHARMACY INC
Entity Type:Organization
Organization Name:KINGS 7TH AVE PHARMACY INC
Other - Org Name:KINGS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:DELGAUDIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-921-5656
Mailing Address - Street 1:300 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-7251
Mailing Address - Country:US
Mailing Address - Phone:718-499-5200
Mailing Address - Fax:718-499-1299
Practice Address - Street 1:300 7TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-7251
Practice Address - Country:US
Practice Address - Phone:718-499-5200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-04
Last Update Date:2017-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0354563336C0003X, 3336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy