63rd Drive Pharmacy Corp
63rd Drive Pharmacy Corp is a Pharmacy in Rego Park, New York. Licensed in New York. Registered with an NPI since 2006.
- Licensed in
- NY
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- Corp — Corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
9305 63rd DrRego Park, NY 11374-2924
Phone: (718) 459-3370
Fax: (718) 459-2074
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X |
|---|---|
| Pharmacy | Taxonomy 333600000X · Licence 024647 (NY) |
Record details
| NPI number | 1023116050 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Simon Ilizarov — President · (718) 459-3370 |
| Other names | K S Pharmacy |
| NPI enumerated | September 21, 2006 |
| Last updated in NPPES | September 11, 2025 |
| Mailing address | 9305 63rd Dr, Rego Park, NY 11374-2924 |
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