Individual provider Active NPI

Nadezhda Ganapolsky, RPH

  • Pharmacist
  • Middletown, NY
National Provider Identifier
1104095124
Registry record updated Feb 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
044302 Issued in NY
Practice address
1 Galleria Dr
Suite 140
Middletown, NY 10941-3032
Phone
(845) 692-3721
Fax
(845) 692-3721
NPI assigned
Feb 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 044302 NY Primary

Addresses

Primary practice location

1 Galleria Dr
Suite 140
Middletown, NY 10941-3032

Mailing address

1 Galleria Dr
Suite 140
Middletown, NY 10941-3032
Phone (845) 692-3721

Other identifiers 1

IdentifierTypeStateIssuer
01652331MedicaidNY

Other names 1

  • Nadezhda Valkova Former name

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

LicenseStateTypeSpecialty
044302NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Carolina CVS Pharmacy LLC Past Accepting new patients

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": "1203724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203724800000",
    "number": "1104095124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GALLERIA DR",
            "address_2": "SUITE 140",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109413032",
            "telephone_number": "845-692-3721",
            "fax_number": "845-692-3721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GALLERIA DR",
            "address_2": "SUITE 140",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109413032",
            "telephone_number": "845-692-3721",
            "fax_number": "845-692-3721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANAPOLSKY",
        "first_name": "NADEZHDA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-23",
        "last_updated": "2008-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "044302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01652331",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NADEZHDA",
            "last_name": "VALKOVA",
            "credential": "RPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Middletown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2008; 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.