Individual provider Active NPI

Yulia Rybalka

  • Pharmacist
  • Ft Lauderdale, FL
National Provider Identifier
1124560370
Registry record updated Nov 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PSI12251 Issued in FL
Practice address
217 SE 10TH Street
Ft Lauderdale, FL 33316
Phone
(954) 830-2941
NPI assigned
Nov 4, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PSI12251 FL Primary

Addresses

Primary practice location

217 SE 10TH Street
Ft Lauderdale, FL 33316

Mailing address

217 SE 10TH St
Ft Lauderdale, FL 33316-1025
Phone (954) 830-2941

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
PSI12251FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478217600000",
    "number": "1124560370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 SE 10TH ST",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161025",
            "telephone_number": "954-830-2941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 SE 10TH STREET",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "33316",
            "telephone_number": "954-830-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYBALKA",
        "first_name": "YULIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-04",
        "last_updated": "2016-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PSI12251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; 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.