Active NPI
Svetlana Shlyam
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1003093766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 047190-1
- Practice address
- 2202 Avenue U
Brooklyn, NY 11229-3648 - Phone
- (347) 462-4562
- NPI assigned
- Jan 24, 2008
- Last updated
- Mar 9, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 047190-1 | NY | Primary |
Addresses
Primary practice location
2202 Avenue U
Brooklyn, NY 11229-3648
Mailing address
10202 Flatlands Ave
Brooklyn, NY 11236-2810
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02348507 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047190-1 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LTV Associates Inc | Current | Accepting new patients | |
| All Pro RX Inc. | Current | Accepting new patients | |
| All Pro RX Inc. | Current | Accepting new patients |
Locations
2202 Avenue U
Brooklyn, NY 11229
Phone (631) 551-5110
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Durable Medical Equipment & Medical Supplies
- Brooklyn, NY
- NPI 1326915588
-
- Pharmacy
- Brooklyn, NY
- NPI 1578249355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646784000000",
"number": "1003093766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10202 FLATLANDS AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112362810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2202 AVENUE U",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112293648",
"telephone_number": "347-462-4562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHLYAM",
"first_name": "SVETLANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-24",
"last_updated": "2022-03-09",
"certification_date": "2022-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "047190-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02348507",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.