1. Home
  2. Directory
  3. New York
  4. Rego Park
  5. Pharmacy
  6. NPI Profile

63RD DRIVE PHARMACY CORP
NPI 1023116050
Pharmacy - Community/Retail Pharmacy in Rego Park, NY

Active since September 21, 2006
9305 63RD DR, REGO PARK, NY 11374(718) 459-3370(718) 459-2074 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About 63rd Drive Pharmacy Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

63RD DRIVE PHARMACY CORP (NPI 1023116050), doing business as K S Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Rego Park, New York and active in the NPI registry since September 2006. The organization lists Simon Ilizarov, President, as its authorized official.

NPPES Registry Identity

NPI1023116050
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business Name63RD DRIVE PHARMACY CORP
Location Address9305 63RD DRRego Park, NY 11374-2924
Mailing Address9305 63rd DrRego Park, NY 11374-2924
Phone(718) 459-3370
Fax(718) 459-2074
Organization SubpartNo
Authorized OfficialSimon IlizarovPresident · (718) 459-3370
Enumeration DateSeptember 21, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1023116050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacyTaxonomy 333600000X · License 024647 (NY)
9305 63RD DR, Rego Park, NY 11374
Open in Google Maps ↗

Other Names 1

Doing Business AsK S Pharmacy

Other Identifiers 2

Other3312511Other Id Number-commercial Number
Medicaid02053872NY

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALL HEALTH PRODUCTS INC.
Pharmacy (Community/Retail Pharmacy)
9305 63RD DR
REGO PARK, NY 11374
Queens County (718) 997-6900
MR. SEMEN K ILIZAROV
Pharmacist
9305 63RD DR
REGO PARK, NY 11374
Queens County (718) 459-3370
NEIGHBORHOOD DRUGSTORE INC.
Pharmacy (Community/Retail Pharmacy)
9305 63RD DR
REGO PARK, NY 11374
Queens County (718) 997-6900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 63rd Drive Pharmacy Corp's NPI number?

The NPI number for 63rd Drive Pharmacy Corp is 1023116050. It was assigned to this organization in the NPPES registry on September 21, 2006. The provider is doing business as K S Pharmacy.

Where is 63rd Drive Pharmacy Corp located?

63rd Drive Pharmacy Corp is located at 9305 63rd Dr, Rego Park, NY 11374. The listed phone number is (718) 459-3370.

What is 63rd Drive Pharmacy Corp's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for 63rd Drive Pharmacy Corp was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.