Individual ProviderShalom Sam KikovPharmacistPharmacy Service ProvidersPractice Address540 Fulton St, Brooklyn, NY 11201-5308(718) 757-2869PECOS EnrollmentBased on the most recent information from CMS, provider Shalom Sam Kikov 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 4 days ago.Profile DetailsProvider ID1942566377Provider TypeIndividualFull NameKikov, Shalom SamTitleMr.GenderMaleSole ProprietorYesEnumeration Date4/10/2012Last Updated4/10/2012Contact InformationPractice LocationPractice Address540 Fulton St, Brooklyn, NY 11201-5308Phone(718) 757-2869Fax(718) 261-5505Mailing LocationMailing Address11505 Mayfair Rd, Richmond Hill, NY 11418-3481Phone(718) 757-2869Fax(718) 261-5505Provider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense044335New York