Healthcare Provider Details

I. General information

NPI: 1134082985
Provider Name (Legal Business Name): SMK PHARMACY CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8702 ROCKAWAY BEACH BLVD
ROCKAWAY BEACH NY
11693-1610
US

IV. Provider business mailing address

8702 ROCKAWAY BEACH BLVD
ROCKAWAY BEACH NY
11693-1610
US

V. Phone/Fax

Practice location:
  • Phone: 718-634-9300
  • Fax: 718-634-9302
Mailing address:
  • Phone: 718-634-9300
  • Fax: 718-634-9302

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MARC R KASSMAN
Title or Position: OWNER
Credential:
Phone: 718-634-9300