Individual provider Active NPI

Ilya Shakhmurov

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1043846405
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
061595 Issued in NY
Practice address
2813 Cropsey Ave
Brooklyn, NY 11214-7213
Phone
(718) 975-7525
Fax
(718) 975-7524
NPI assigned
Mar 18, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 061595 NY Primary

Addresses

Primary practice location

2813 Cropsey Ave
Brooklyn, NY 11214-7213

Mailing address

2813 Cropsey Ave
Brooklyn, NY 11214-7213
Phone (718) 975-7525

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Atozmerchants@yahoo.com Health Information Exchange (HIE)

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
061595NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Planet RX Chemists LTD Current Accepting new patients

Locations

2813 Cropsey Ave
Brooklyn, NY 11214
Phone (718) 975-7525

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": "1584489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1043846405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2813 CROPSEY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112147213",
            "telephone_number": "718-975-7525",
            "fax_number": "718-975-7524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2813 CROPSEY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112147213",
            "telephone_number": "718-975-7525",
            "fax_number": "718-975-7524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKHMUROV",
        "first_name": "ILYA",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-18",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "061595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Atozmerchants@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "Pharmacy email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2813 Cropsey Ave",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112147213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 18, 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.

Verify at the official NPI Registry.