Individual provider Active NPI

Alla M Kotlyanskaya, PHARM. D.

  • Pharmacotherapy Pharmacist
  • Brooklyn, NY
National Provider Identifier
1174733430
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
050961 Issued in NY
Practice address
1565 E 14TH St Apt 5E
Brooklyn, NY 11230-7154
Phone
(917) 892-9934
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X 050961 NY Primary

Addresses

Primary practice location

1565 E 14TH St Apt 5E
Brooklyn, NY 11230-7154

Mailing address

1565 E 14TH St Apt 5E
Brooklyn, NY 11230-7154
Phone (917) 892-9934

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

LicenseStateTypeSpecialty
050961NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174733430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 E 14TH ST APT 5E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307154",
            "telephone_number": "917-892-9934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 E 14TH ST APT 5E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307154",
            "telephone_number": "917-892-9934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTLYANSKAYA",
        "first_name": "ALLA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "PHARM. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "NY",
            "license": "050961",
            "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 Jul 8, 2007; 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.