Individual provider Active NPI

Gavriel Normatov, GAVRIEL NORMATOV

  • Pharmacist
  • Ridgewood, NY
National Provider Identifier
1144542424
Registry record updated Feb 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
52660 Issued in NY
Practice address
6036 Myrtle Ave
Ridgewood, NY 11385-5932
Phone
(718) 497-5190
Fax
(718) 497-5590
NPI assigned
Feb 27, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 52660 NY Primary

Addresses

Primary practice location

6036 Myrtle Ave
Ridgewood, NY 11385-5932

Mailing address

6036 Myrtle Ave
Ridgewood, NY 11385-5932
Phone (718) 497-5190

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
52660NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Catalpa Chemists Corp Current Accepting new patients
Catalpa Chemists Corp Current 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1267228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267228800000",
    "number": "1144542424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6036 MYRTLE AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113855932",
            "telephone_number": "718-497-5190",
            "fax_number": "718-497-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6036 MYRTLE AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113855932",
            "telephone_number": "718-497-5190",
            "fax_number": "718-497-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORMATOV",
        "first_name": "GAVRIEL",
        "name_prefix": "Dr.",
        "credential": "GAVRIEL NORMATOV",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-27",
        "last_updated": "2010-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "52660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2010; 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.