Active NPI
Kiefer Kikov, PHARM.D.
- Pharmacist
- Forest Hills, NY
National Provider Identifier
1861949919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 062015
- Practice address
- 6838 Yellowstone Blvd
Apt B54
Forest Hills, NY 11375-3417 - Phone
- (917) 407-3104
- NPI assigned
- Sep 7, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 062015 | NY | Primary |
Addresses
Primary practice location
6838 Yellowstone Blvd
Apt B54
Forest Hills, NY 11375-3417
Mailing address
6838 Yellowstone Blvd
Apt B54
Forest Hills, NY 11375-3417
Phone (917) 407-3104
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
| License | State | Type | Specialty |
|---|---|---|---|
| 062015 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473206400000",
"number": "1861949919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6838 YELLOWSTONE BLVD",
"address_2": "APT B54",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113753417",
"telephone_number": "917-407-3104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6838 YELLOWSTONE BLVD",
"address_2": "APT B54",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113753417",
"telephone_number": "917-407-3104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIKOV",
"first_name": "KIEFER",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-07",
"last_updated": "2016-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "062015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.