Individual provider Active NPI

Olga Lalo Zletah, PHARM. D

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1073226320
Registry record updated Jan 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
069625 Issued in NY
Practice address
2424 E 14TH St
Brooklyn, NY 11235-3902
Phone
(347) 824-9505
NPI assigned
Jan 2, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 069625 NY Primary

Addresses

Primary practice location

2424 E 14TH St
Brooklyn, NY 11235-3902

Mailing address

2424 E 14TH St
Brooklyn, NY 11235-3902
Phone (347) 824-9505

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL epic

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
069625NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1672617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672617600000",
    "number": "1073226320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 E 14TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353902",
            "telephone_number": "347-824-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 E 14TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353902",
            "telephone_number": "347-824-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZLETAH",
        "first_name": "OLGA",
        "middle_name": "LALO",
        "credential": "PHARM. D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-02",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "069625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "epic",
            "affiliation": "N",
            "address_1": "2424 E 14th St",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112353902",
            "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 Jan 2, 2023; 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.