Active NPI
Yelena Ganopolsky
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1033433370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 052408-1
- Practice address
- 4024 18TH Ave
Brooklyn, NY 11218-5708 - Phone
- (718) 851-7711
- NPI assigned
- Mar 15, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 052408-1 | NY | Primary |
| Pharmacist | 183500000X | 28RI03070400 | NJ |
Addresses
Primary practice location
4024 18TH Ave
Brooklyn, NY 11218-5708
Mailing address
4024 18TH Ave
Brooklyn, NY 11218-5708
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 |
|---|---|---|---|
| 052408-1 | NY | MD | Clinical Social Worker |
| 28RI03070400 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Petrychenko Physician PC | Past | Accepting new patients | |
| Silver Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 2
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
- Brooklyn, NY
- NPI 1235429523
-
- Specialist
- Brooklyn, NY
- NPI 1861413981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458864000000",
"number": "1033433370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4024 18TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112185708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4024 18TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112185708",
"telephone_number": "718-851-7711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANOPOLSKY",
"first_name": "YELENA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-15",
"last_updated": "2016-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "052408-1",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03070400",
"primary": false
}
],
"identifiers": [],
"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 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.