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KINGSBORO PHARMACY
NPI 1104916089
Pharmacy - Community/Retail Pharmacy in Brooklyn, NY

Active since October 13, 2006
924 MYRTLE AVENUE, BROOKLYN, NY 11206(718) 443-6000(718) 874-3638 Get Directions Write a Review

NPPES record last updated: May 4, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 4, 2020, Mar 12, 2020, Jul 19, 2018 and 2 more (5 updates tracked since 2016).

About Kingsboro Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KINGSBORO PHARMACY (NPI 1104916089) is a healthcare organization registered as a community/retail pharmacy in Brooklyn, New York and active in the NPI registry since October 2006. The organization lists Joseph P Pohl, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1104916089
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business Name870 SOUTHERN DRUG CORP.
Location Address924 MYRTLE AVENUEBrooklyn, NY 11206-7295
Mailing Address40 Pennwood Place, Suite 300Warrendale, PA 15086-6526 · (724) 779-4720 · Fax (724) 779-4721
Phone(718) 443-6000
Fax(718) 874-3638
Organization SubpartNo
Authorized OfficialJoseph P PohlPresident & Ceo · (724) 779-4720
Enumeration DateOctober 13, 2006
Last NPPES UpdateMay 4, 20205 updates tracked since enumeration
NPPES CertifiedMay 4, 2020
✔ NPI 1104916089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in NY · 029877
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacyTaxonomy 333600000X
924 MYRTLE AVENUE, Brooklyn, NY 11206
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Other Names 1

Doing Business AsKingsboro Pharmacy

Other Identifiers 2

Other2123798Pk
Medicaid3158481NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 870 Southern Drug Corp.'s NPI number?

The NPI number for 870 Southern Drug Corp. is 1104916089. It was assigned to this organization in the NPPES registry on October 13, 2006. The provider is doing business as Kingsboro Pharmacy.

Where is 870 Southern Drug Corp. located?

870 Southern Drug Corp. is located at 924 Myrtle Avenue, Brooklyn, NY 11206. The listed phone number is (718) 443-6000.

What is 870 Southern Drug Corp.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does 870 Southern Drug Corp. accept?

Health plans from Medica and Moda Health Plan, Inc. list 870 Southern Drug Corp. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for 870 Southern Drug Corp. was last updated on May 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.