South Station Pharmacy Inc
NPI 1932767084 · Community/Retail Pharmacy · Great Neck, NY
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
South Station Pharmacy Inc is a Community/Retail Pharmacy organization in Great Neck, NY (NPI 1932767084).
Provider details
- NPI number
- 1932767084
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Kiefer Kikov, President(917) 407-3104
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
Mailing address
Registry dates
- Enumerated
- 2019-06-04
- Last updated
- 2019-06-04
Frequently asked questions
- What is South Station Pharmacy Inc's NPI number?
- South Station Pharmacy Inc's National Provider Identifier (NPI) is 1932767084, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Station Pharmacy Inc?
- South Station Pharmacy Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is South Station Pharmacy Inc located?
- South Station Pharmacy Inc's practice location on file with NPPES is 26 S Station Plz, Great Neck, NY 11021-3531.
- What is South Station Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for South Station Pharmacy Inc is (516) 708-1300.
- Does South Station Pharmacy Inc accept Medicare?
- South Station Pharmacy Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for South Station Pharmacy Inc?
- The authorized official listed on South Station Pharmacy Inc's NPPES record is Kiefer Kikov, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Station Pharmacy Inc's NPI active?
- Yes — South Station Pharmacy Inc's NPI (1932767084) is active in the NPPES registry as of the last update on 2019-06-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.