MEDICARE: KOO & CO., INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	025375	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	3325897	OTHER	NY	NABP

General Provider Information

NPI Number	:	1265446082
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KOO & CO., INC

Provider Business Mailing Address
First Line	:	13636 39TH AVE
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11354-5516
Country	:	US
Telephone Number	:	718-321-1716
Fax Number	:	718-321-1528

Provider Business Practice Location Address
First Line	:	13636 39TH AVE
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11354-5516
Country	:	US
Telephone Number	:	718-321-1716
Fax Number	:	718-321-1528

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. PETER KOO
Credential	:	RPH
Telephone Number	:	718-961-2931

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	01/21/2026

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Directions to “KOO & CO., INC ” Practice Location

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