Active NPI
Julia Chulyakova, PHARMD
- Pharmacist
- Jersey City, NJ
National Provider Identifier
1144669888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03416500
- Practice address
- 360 Martin Luther King Jr Dr
Jersey City, NJ 07305-3739 - Phone
- (201) 433-6990
- NPI assigned
- Jun 16, 2013
- Last updated
- Jun 16, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 28RI03416500 | NJ | Primary |
Addresses
Primary practice location
360 Martin Luther King Jr Dr
Jersey City, NJ 07305-3739
Mailing address
2409 Avenue Z Apt 101
Brooklyn, NY 11235-2632
Phone (646) 269-0768
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 |
|---|---|---|---|
| 28RI03416500 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ibchu 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371340800000",
"number": "1144669888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2409 AVENUE Z APT 101",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112352632",
"telephone_number": "646-269-0768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 MARTIN LUTHER KING JR DR",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073053739",
"telephone_number": "201-433-6990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHULYAKOVA",
"first_name": "JULIA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-16",
"last_updated": "2013-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03416500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.