Individual provider Active NPI

Marat Blustin, RPH

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1154596070
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
044938 Issued in NY
Practice address
2617 E 16TH St
Brooklyn, NY 11235-3801
Phone
(718) 648-4441
Fax
(718) 648-4328
NPI assigned
Apr 23, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 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 044938 NY Primary

Addresses

Primary practice location

2617 E 16TH St
Brooklyn, NY 11235-3801

Mailing address

83 Mills Ave
Staten Island, NY 10305-4523
Phone (917) 922-3204

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
044938NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Z Drugs Inc 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": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208908800000",
    "number": "1154596070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 MILLS AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103054523",
            "telephone_number": "917-922-3204",
            "fax_number": "718-648-4328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 E 16TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353801",
            "telephone_number": "718-648-4441",
            "fax_number": "718-648-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUSTIN",
        "first_name": "MARAT",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "044938",
            "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 Apr 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.