St Mary & Pope Kyrillos Corporation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ST MARY & POPE KYRILLOS CORPORATION

Doing business as

Good life pharmacy

Practice address

217 Main St
Staten Island, NY 10307-1228

Phone

(718) 500-4554

Fax

(718) 500-4562

NPI assigned

Sep 30, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Refca MorcosNPI 1346900602

Title

President

Phone

(718) 500-4554

Specialties & licenses 1

Addresses

Other names 1

• Good life pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Refca Morcos

  • Pharmacist
  • Jersey City, NJ
  • NPI 1346900602
  NPD Authorized official
• Engy Boulos, RPH

  • Pharmacist
  • Staten Island, NY
  • NPI 1639684632
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1023836046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 MAIN ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103071228",
            "telephone_number": "718-500-4554",
            "fax_number": "718-500-4562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 MAIN ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103071228",
            "telephone_number": "718-500-4554",
            "fax_number": "718-500-4562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARY & POPE KYRILLOS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-30",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "MORCOS",
        "authorized_official_first_name": "REFCA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-500-4554"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good life pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Good life pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.