Organization Active NPI

Nilkanth RX Inc.

Doing business as San Nicholas Pharmacy

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1063144434
Registry record updated Jun 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
NILKANTH RX INC.
Doing business as
San Nicholas Pharmacy
Practice address
1265 Saint Nicholas Ave
New York, NY 10033-7266
Phone
(212) 781-4214
Fax
(212) 281-4758
NPI assigned
Jun 25, 2022
Last updated
Jun 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2022

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

Authorized official

Name
Kalpesh Patel
Title
Vice President
Phone
(201) 706-0901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

1265 Saint Nicholas Ave
New York, NY 10033-7266

Mailing address

1265 Saint Nicholas Ave
New York, NY 10033-7266
Phone (212) 781-4214

Other names 1

  • San Nicholas Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20230221000308 NY Part B Supplier - Pharmacy 6204208242 Practice locations: New York, NY
O20230424000125 NY DME Supplier - Pharmacy 6204208242 Practice locations: New York, NY
O20231201000462 NY Part B Supplier - Mass Immunization (Roster Biller Only) 6204208242 Practice locations: New York, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Nilkanth RX Inc1265 Saint Nicholas Ave, New York, NY 10033-7266(212) 781-4214 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Dec 28, 2022

National Provider Directory

National Provider Directory

Locations

1265 Saint Nicholas Ave
New York, NY 10033
Phone (212) 781-4214

NPI Registry JSON

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

{
    "created_epoch": "1656115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656115200000",
    "number": "1063144434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 SAINT NICHOLAS AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100337266",
            "telephone_number": "212-781-4214",
            "fax_number": "212-281-4758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 SAINT NICHOLAS AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100337266",
            "telephone_number": "212-781-4214",
            "fax_number": "212-281-4758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NILKANTH RX INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-25",
        "last_updated": "2022-06-25",
        "certification_date": "2022-06-25",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KALPESH",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "201-706-0901"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Nicholas Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2022; 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.