Active NPI
Yelena Buslova
- Pharmacist
- Boynton Beach, FL
National Provider Identifier
1043814114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS44573
- Practice address
- 12750 S Military TRL
Boynton Beach, FL 33436-6139 - Phone
- (561) 637-3695
- Fax
- (561) 637-7354
- NPI assigned
- Nov 29, 2020
- 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 | PS44573 | FL | Primary |
Addresses
Primary practice location
12750 S Military TRL
Boynton Beach, FL 33436-6139
Mailing address
8443 Grand Prix LN
Boynton Beach, FL 33472-2735
Phone (561) 573-9623
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | csv | Direct |
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 |
|---|---|---|---|
| PS44573 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS L.L.C. | Past | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606608000000",
"number": "1043814114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8443 GRAND PRIX LN",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334722735",
"telephone_number": "561-573-9623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12750 S MILITARY TRL",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334366139",
"telephone_number": "561-637-3695",
"fax_number": "561-637-7354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSLOVA",
"first_name": "YELENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-29",
"last_updated": "2020-11-29",
"certification_date": "2020-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS44573",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "csv",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "12750 S Military Trl",
"city": "Boynton Beach",
"state": "FL",
"country_code": "US",
"postal_code": "334366139",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.