Organization Active NPI

Forever Health Pharmacy Inc.

  • Pharmacy
  • New York, NY
National Provider Identifier
1326293002
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
029191 Issued in NY
Legal business name
FOREVER HEALTH PHARMACY INC.
Doing business as
Forever Health Pharmacy
Practice address
2 E Broadway
New York, NY 10038-1073
Phone
(212) 966-7887
Fax
(212) 966-9588
NPI assigned
Nov 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Authorized official

Name
Nukri Tsikarishvili
Title
President
Phone
(212) 966-7887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 029191 NY Primary

Addresses

Primary practice location

2 E Broadway
New York, NY 10038-1073

Mailing address

2 E Broadway
New York, NY 10038-1073
Phone (212) 966-7887

Other identifiers 1

IdentifierTypeStateIssuer
03061814MedicaidNY

Other names 1

  • Forever Health Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930043701 NY DME Supplier - Pharmacy 0941408116 Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

2 E Broadway
New York, NY 10038
Phone (212) 966-7887

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779235200000",
    "number": "1326293002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 E BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100381073",
            "telephone_number": "212-966-7887",
            "fax_number": "212-966-9588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 E BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100381073",
            "telephone_number": "212-966-7887",
            "fax_number": "212-966-9588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER HEALTH PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-24",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A",
        "authorized_official_last_name": "TSIKARISHVILI",
        "authorized_official_first_name": "NUKRI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-966-7887"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "029191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03061814",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forever Health 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 May 20, 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.