OrganizationActive
63rd Drive Pharmacy Corp
NPI 1023116050 · Community/Retail Pharmacy · Rego Park, NY
63rd Drive Pharmacy Corp is a Community/Retail Pharmacy organization in Rego Park, NY (NPI 1023116050).
Provider details
- NPI number
- 1023116050
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Simon Ilizarov, President(718) 459-3370
- License
- 024647 (NY)
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9305 63rd Dr
Rego Park, NY 11374-2924
Phone: (718) 459-3370
Fax: (718) 459-2074
Street-level locationGet directions
Mailing address
9305 63rd Dr
Rego Park, NY 11374-2924
Other names (DBA / former)
- Doing business as
- K S Pharmacy
Registry dates
- Enumerated
- 2006-09-21
- Last updated
- 2025-09-11
Frequently asked questions
- What is 63rd Drive Pharmacy Corp's NPI number?
- 63rd Drive Pharmacy Corp's National Provider Identifier (NPI) is 1023116050, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 63rd Drive Pharmacy Corp?
- 63rd Drive Pharmacy Corp is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is 63rd Drive Pharmacy Corp located?
- 63rd Drive Pharmacy Corp's practice location on file with NPPES is 9305 63rd Dr, Rego Park, NY 11374-2924.
- What is 63rd Drive Pharmacy Corp's phone number?
- The practice phone number listed in the NPPES registry for 63rd Drive Pharmacy Corp is (718) 459-3370.
- Who is the authorized official for 63rd Drive Pharmacy Corp?
- The authorized official listed on 63rd Drive Pharmacy Corp's NPPES record is Simon Ilizarov, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 63rd Drive Pharmacy Corp's NPI active?
- Yes — 63rd Drive Pharmacy Corp's NPI (1023116050) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.