Individual provider Active NPI

Nicholas Niceforo, PHARM.D

  • Ambulatory Care Pharmacist
  • Jamaica, NY
National Provider Identifier
1548776966
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care PharmacistTaxonomy code 1835P2201X
License
063024 Issued in NY
Practice address
8268 164TH St
Jamaica, NY 11432-1121
Phone
(718) 883-3000
NPI assigned
Dec 21, 2017
Last updated
Jan 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 063024 NY
Ambulatory Care Pharmacist 1835P2201X 063024 NY Primary

Addresses

Primary practice location

8268 164TH St
Jamaica, NY 11432-1121

Mailing address

157 Hillside Ter
Staten Island, NY 10308-2819
Phone (718) 801-6796

Other practice location 1

64 Indian Head Rd
Kings Park, NY 11754-3703
Phone (631) 663-3800

Other practice location 2

130 W Kingsbridge Rd
Bronx, NY 10468-3904
Phone (718) 584-9000 ext. 5126

Other names 1

  • Nicola Niceforo Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
063024NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
KFP Corp Past Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients
Sai Siva Pharmacy LLC PastSince Apr 1, 2020 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1548776966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 HILLSIDE TER",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103082819",
            "telephone_number": "718-801-6796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8268 164TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321121",
            "telephone_number": "718-883-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "64 Indian Head Rd",
            "address_purpose": "LOCATION",
            "city": "Kings Park",
            "state": "NY",
            "postal_code": "117543703",
            "country_code": "US",
            "telephone_number": "631-663-3800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 W Kingsbridge Rd",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104683904",
            "country_code": "US",
            "telephone_number": "718-584-9000 x5126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICEFORO",
        "first_name": "NICHOLAS",
        "credential": "PHARM.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-21",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "063024",
            "primary": false
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "NY",
            "license": "063024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLA",
            "last_name": "NICEFORO",
            "credential": "PHARM. D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.