Active NPI
Radion Krasnov
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1083084354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 060800
- Practice address
- 5816 4TH Ave
Brooklyn, NY 11220-3810 - Phone
- (718) 567-0019
- NPI assigned
- Sep 30, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 060800 | NY | Primary |
| Pharmacist | 183500000X | 28RI03729700 | NJ |
Addresses
Primary practice location
5816 4TH Ave
Brooklyn, NY 11220-3810
Mailing address
5816 4TH Ave
Brooklyn, NY 11220-3810
Phone (718) 567-0019
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 |
|---|---|---|---|
| 28RI03729700 | NJ | MD | Pharmacist |
| 060800 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 59 Street RX Inc | Past | Accepting new patients | |
| 59 St Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- Brooklyn, NY
- NPI 1851876973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444262400000",
"number": "1083084354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5816 4TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112203810",
"telephone_number": "718-567-0019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5816 4TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112203810",
"telephone_number": "718-567-0019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRASNOV",
"first_name": "RADION",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-30",
"last_updated": "2015-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "060800",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03729700",
"primary": false
}
],
"identifiers": [],
"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 Oct 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.