Individual provider Active NPI

Benjamin Moshe Musheyev

  • Pharmacist
  • Rego Park, NY
National Provider Identifier
1043047319
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
071945 Issued in NY
Practice address
10022 67TH Ave
Rego Park, NY 11374-4515
Phone
(718) 440-9033
NPI assigned
Sep 19, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 071945 NY Primary

Addresses

Primary practice location

10022 67TH Ave
Rego Park, NY 11374-4515

Mailing address

7019 175TH St
Fresh Meadows, NY 11365-3416
Phone (718) 374-1126

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

LicenseStateTypeSpecialty
071945NYMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Compounding Pharmacy Corp CurrentSince Sep 23, 2024 Accepting new patients

Locations

10022 67th Ave
Rego Park, NY 11374
Phone (718) 440-9033

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1043047319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7019 175TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653416",
            "telephone_number": "718-374-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10022 67TH AVE",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744515",
            "telephone_number": "718-440-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSHEYEV",
        "first_name": "BENJAMIN",
        "middle_name": "MOSHE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "071945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.