Active NPI
Solomon Gulyamov, PHARM.D.
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1144645771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1057177
- Practice address
- 5102 13TH Ave
Brooklyn, NY 11219-3520 - Phone
- (718) 435-5684
- Fax
- (718) 435-9490
- NPI assigned
- Feb 18, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1057177 | NY | Primary |
Addresses
Primary practice location
5102 13TH Ave
Brooklyn, NY 11219-3520
Mailing address
5102 13TH Ave
Brooklyn, NY 11219-3520
Phone (718) 435-5684
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1057177 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 16TH Ave Pharmacy LLC | Current | 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.
-
- Community/Retail Pharmacy
- Brooklyn, NY
- NPI 1285254367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392681600000",
"number": "1144645771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5102 13TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112193520",
"telephone_number": "718-435-5684",
"fax_number": "718-435-9490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5102 13TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112193520",
"telephone_number": "718-435-5684",
"fax_number": "718-435-9490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GULYAMOV",
"first_name": "SOLOMON",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-18",
"last_updated": "2014-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "1057177",
"primary": true
}
],
"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 Feb 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.