Active NPI
Diana Iskhakova, PHARM D
- Pharmacist
- Ny, NY
National Provider Identifier
1003124918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 055094
- Practice address
- 535 5TH Ave
Duane Reade Pharmacy
Ny, NY 10017 - Phone
- (212) 687-8641
- NPI assigned
- Sep 14, 2010
- 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 | 055094 | NY | Primary |
Addresses
Primary practice location
535 5TH Ave
Duane Reade Pharmacy
Ny, NY 10017
Mailing address
8105 190TH St
Hollis, NY 11423-1040
Phone (347) 678-6032
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 055094 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comfort RX Pharmacy Corp | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Long Island City, NY
- NPI 1285401661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442534400000",
"number": "1003124918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8105 190TH ST",
"city": "HOLLIS",
"state": "NY",
"postal_code": "114231040",
"telephone_number": "347-678-6032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 5TH AVE",
"address_2": "DUANE READE PHARMACY",
"city": "NY",
"state": "NY",
"postal_code": "10017",
"telephone_number": "212-687-8641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISKHAKOVA",
"first_name": "DIANA",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-14",
"last_updated": "2015-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "055094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ny, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.