OrganizationActive
King Kullen Pharmacies Corp
NPI 1104099977 · Community/Retail Pharmacy · Staten Island, NY
King Kullen Pharmacies Corp is a Community/Retail Pharmacy organization in Staten Island, NY (NPI 1104099977).
Provider details
- NPI number
- 1104099977
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- J Kennedy, Treasurer Director(516) 733-7147
- License
- 028810 (NY)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2660 Hylan Blvd
Staten Island, NY 10306
Phone: (718) 979-1005
Fax: (718) 980-5512
Street-level locationGet directions
Mailing address
185 Central Ave
Bethpage, NY 11714
Other names (DBA / former)
- Doing business as
- King Kullen Pharmacy
Registry dates
- Enumerated
- 2008-04-11
- Last updated
- 2008-12-30
Frequently asked questions
- What is King Kullen Pharmacies Corp's NPI number?
- King Kullen Pharmacies Corp's National Provider Identifier (NPI) is 1104099977, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is King Kullen Pharmacies Corp?
- King Kullen Pharmacies Corp is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is King Kullen Pharmacies Corp located?
- King Kullen Pharmacies Corp's practice location on file with NPPES is 2660 Hylan Blvd, Staten Island, NY 10306.
- What is King Kullen Pharmacies Corp's phone number?
- The practice phone number listed in the NPPES registry for King Kullen Pharmacies Corp is (718) 979-1005.
- Who is the authorized official for King Kullen Pharmacies Corp?
- The authorized official listed on King Kullen Pharmacies Corp's NPPES record is J Kennedy, Treasurer Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is King Kullen Pharmacies Corp's NPI active?
- Yes — King Kullen Pharmacies Corp's NPI (1104099977) is active in the NPPES registry as of the last update on 2008-12-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.