Active NPI
Yelena Kuznetsova, RPH
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1063699536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 49367
- Practice address
- 10 Brighton 11TH St
Brooklyn, NY 11235-5304 - Phone
- (718) 676-4006
- Fax
- (718) 676-4027
- NPI assigned
- Jan 28, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 49367 | NY | Primary |
Addresses
Primary practice location
10 Brighton 11TH St
Brooklyn, NY 11235-5304
Mailing address
10 Brighton 11TH St
Brooklyn, NY 11235-5304
Phone (718) 676-4006
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01764983 | Medicaid | NY |
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49367 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519948800000",
"number": "1063699536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 BRIGHTON 11TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112355304",
"telephone_number": "718-676-4006",
"fax_number": "718-676-4027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 BRIGHTON 11TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112355304",
"telephone_number": "718-676-4006",
"fax_number": "718-676-4027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUZNETSOVA",
"first_name": "YELENA",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-28",
"last_updated": "2018-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "49367",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01764983",
"state": "NY"
}
],
"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 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.