Organization Active NPI

Tyka Holdings Inc

Doing business as Tyka Pharmacy

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1871735878
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
029441 Issued in NY
Legal business name
TYKA HOLDINGS INC
Doing business as
Tyka Pharmacy
Practice address
6B Elizabeth St
New York, NY 10013-4802
Phone
(212) 343-1517
Fax
(646) 292-5191
NPI assigned
Apr 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Authorized official

Name
Mary CheungNPI 1902081607
Title
President/SP
Phone
(212) 343-1517

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 029441 NY Primary

Addresses

Primary practice location

6B Elizabeth St
New York, NY 10013-4802

Mailing address

6B Elizabeth St
New York, NY 10013-4802
Phone (212) 343-1517

Other identifiers 2

IdentifierTypeStateIssuer
03111644MedicaidNY
2120476OtherPK

Other names 1

  • Tyka Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20101004000606 NY DME Supplier - Pharmacy 1456543933 Practice locations: New York, NY
O20250820001573 NY Part B Supplier - Pharmacy 1456543933 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
Tyka Holdings Inc6B Elizabeth St, New York, NY 10013-4802(212) 343-1517 Nebulizer Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Orthoses: Off-The-Shelf Does not accept assignmentParticipating since Apr 26, 2010

National Provider Directory

National Provider Directory

Locations

173 Canal St
New York, NY 10013
Phone (212) 343-1517

6B Elizabeth St
New York, NY 10013
Phone (212) 343-1517

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": "1238976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1871735878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6B ELIZABETH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134802",
            "telephone_number": "212-343-1517",
            "fax_number": "646-292-5191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6B ELIZABETH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134802",
            "telephone_number": "212-343-1517",
            "fax_number": "646-292-5191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYKA HOLDINGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-06",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "CHEUNG",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT/SP",
        "authorized_official_telephone_number": "212-343-1517"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "029441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03111644",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2120476",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tyka 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 28, 2025; 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.