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South Station Pharmacy Inc

Community/Retail Pharmacy in Great Neck, NY · enumerated 2019 · authorized official Kiefer Kikov, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1932767084

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Registry record

Entity type Organization (Type 2)
Legal business name South Station Pharmacy Inc
Practice address 26 S Station Plz, Great Neck, NY, 11021
Fax (516) 708-1303
Enumeration date Jun 4, 2019
Last updated in NPPES Jun 4, 2019

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers Primary

Authorized official

Name Kiefer Kikov
Title President

Other identifiers

Identifier Type State Issuer
1851849400 Medicaid NY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for South Station Pharmacy Inc?
The NPI for South Station Pharmacy Inc is 1932767084, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for South Station Pharmacy Inc?
NPPES lists Kiefer Kikov (President) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-06-04.