Organization
K THOMPSON FOODS LLC
Active
Other names
K Thompson Foods LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
1121 JERUSALEM AVE, UNIONDALE, NY 11553-3004
(516) 292-0622
(516) 292-0662
Mailing address
P.O. BOX 15169, NEWARK, NJ 07192
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
030633
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2129035
PK
—
05
—
3332267
—
NY
Enumeration date
01/17/2011
Last updated
09/19/2025
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