West 142ND Street Pharmacy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

030934 Issued in NY

Legal business name

WEST 142ND STREET PHARMACY CORP

Doing business as

West 142nd Street Pharmacy Corp

Practice address

3471 Broadway
New York, NY 10031-5628

Phone

(212) 234-8400

Fax

(212) 234-7700

NPI assigned

Nov 7, 2011

Organization subpart

No

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

Authorized official

Name

Nerik Kikirov

Title

President

Phone

(212) 234-8400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• West 142nd Street Pharmacy Corp Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

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

{
    "created_epoch": "1320624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1053698951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3471 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100315628",
            "telephone_number": "212-234-8400",
            "fax_number": "212-234-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3471 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100315628",
            "telephone_number": "212-234-8400",
            "fax_number": "212-234-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST 142ND STREET PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-07",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "KIKIROV",
        "authorized_official_first_name": "NERIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-234-8400"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "030934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2132630",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West 142nd Street Pharmacy Corp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in New York, NY
• Providers in New York, 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 Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.