Active NPI
Vyacheslav Isakov
- Pharmacist
- Flushing, NY
National Provider Identifier
1023294998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 047402
- Practice address
- 150-06 77TH Rd
Flushing, NY 11367 - Phone
- (347) 554-3629
- NPI assigned
- Jan 10, 2008
- Sex
- Male
- 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 | 047402 | NY | Primary |
Addresses
Primary practice location
150-06 77TH Rd
Flushing, NY 11367
Mailing address
150-06 77TH Rd
Flushing, NY 11367
Phone (347) 554-3629
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245801600000",
"number": "1023294998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150-06 77TH RD",
"city": "FLUSHING",
"state": "NY",
"postal_code": "11367",
"telephone_number": "347-554-3629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150-06 77TH RD",
"city": "FLUSHING",
"state": "NY",
"postal_code": "11367",
"telephone_number": "347-554-3629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISAKOV",
"first_name": "VYACHESLAV",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-10",
"last_updated": "2009-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "047402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.