Individual ProviderKevin PicouPharmacistPharmacy Service ProvidersPractice Address101 Clark St, Brooklyn, NY 11201-2743(718) 834-9003(917) 391-4245PECOS EnrollmentBased on the most recent information from CMS, provider Kevin Picou does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1699404715Provider TypeIndividualFull NamePicou, KevinTitleDr.CredentialPHARMDGenderMaleSole ProprietorYesEnumeration Date6/6/2022Last Updated6/6/2022Contact InformationPractice LocationPractice Address101 Clark St, Brooklyn, NY 11201-2743Phone(718) 834-9003FaxUnlisted FaxMailing LocationMailing Address126 Kent Rd, Valley Stream, NY 11580-3316Phone(917) 391-4245FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense068159New YorkProvider IdentifiersIDDescriptionIssuerIDFH49364BDescriptionMedicaidIssuerUnlistedNew York