Individual provider Active NPI

Riveka Israilova

  • Pharmacist
  • Rego Park, NY
National Provider Identifier
1164989364
Registry record updated Feb 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
064583 Issued in NY
Practice address
9841 65TH Ave Apt 3D
Rego Park, NY 11374-3437
Phone
(917) 670-4360
NPI assigned
Feb 23, 2019
Last updated
Feb 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 064583 NY Primary

Addresses

Primary practice location

9841 65TH Ave Apt 3D
Rego Park, NY 11374-3437

Mailing address

9841 65TH Ave Apt 3D
Rego Park, NY 11374-3437

Other names 1

  • Riveka Israilova Professional name

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
064583NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1550880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550880000000",
    "number": "1164989364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9841 65TH AVE APT 3D",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9841 65TH AVE APT 3D",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743437",
            "telephone_number": "917-670-4360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISRAILOVA",
        "first_name": "RIVEKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-23",
        "last_updated": "2019-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "064583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RIVEKA",
            "last_name": "ISRAILOVA",
            "credential": "PHARMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2019; 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.