Vitaliy Didik, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

066690 Issued in NY

Practice address

3735 Nostrand Ave
Brooklyn, NY 11235-1907

Phone

(718) 368-9800

NPI assigned

Jun 8, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Pill Smart Pharmacy Inc.

  • Community/Retail Pharmacy
  • Bronx, NY
  • NPI 1346049244
  NPD Authorized official
• Kisi Corp

  • Long Term Care Pharmacy
  • Brooklyn, NY
  • NPI 1982448312
  NPD
• Kisi Corp

  • Community/Retail Pharmacy
  • Brooklyn, NY
  • NPI 1215147822
  NPD (past)

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1043835838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 STRATTON RD",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077476833",
            "telephone_number": "646-402-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3735 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351907",
            "telephone_number": "718-368-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIDIK",
        "first_name": "VITALIY",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-08",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "066690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Dickson
• Shanda Dickson, RN
• Darcey Dicostanzo, LCSW
• Jordan Maris Dictrow
• Jacqueline T Didier
• Judy Didonato, DMD
• Gina Marie Didonna, MD
• Joseph Didonna, MSN, FNP-BC, RN-BC
• Natalya Didovskaya, M.S., CCC-SLP
• Marie Cynthia Alicha Didy

• Pharmacist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.