Skillman Avenue Pharmacy Corp
NPI 1952641672 · Community/Retail Pharmacy · Woodside, NY
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Skillman Avenue Pharmacy Corp is a Community/Retail Pharmacy organization in Woodside, NY (NPI 1952641672).
Provider details
- NPI number
- 1952641672
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Kee Kwon, Owner(917) 349-4095
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
Mailing address
Registry dates
- Enumerated
- 2013-02-15
- Last updated
- 2025-11-28
- Certified
- 2025-11-28
Frequently asked questions
- What is Skillman Avenue Pharmacy Corp's NPI number?
- Skillman Avenue Pharmacy Corp's National Provider Identifier (NPI) is 1952641672, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Skillman Avenue Pharmacy Corp?
- Skillman Avenue Pharmacy Corp is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Skillman Avenue Pharmacy Corp located?
- Skillman Avenue Pharmacy Corp's practice location on file with NPPES is 5112 Skillman Ave, Woodside, NY 11377-4158.
- What is Skillman Avenue Pharmacy Corp's phone number?
- The practice phone number listed in the NPPES registry for Skillman Avenue Pharmacy Corp is (718) 565-5454.
- Does Skillman Avenue Pharmacy Corp accept Medicare?
- Skillman Avenue Pharmacy Corp is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Skillman Avenue Pharmacy Corp?
- The authorized official listed on Skillman Avenue Pharmacy Corp's NPPES record is Kee Kwon, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Skillman Avenue Pharmacy Corp's NPI active?
- Yes — Skillman Avenue Pharmacy Corp's NPI (1952641672) is active in the NPPES registry as of the last update on 2025-11-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.