Individual provider Active NPI

Alex Kagzanov, PHARMD

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1184091928
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
061042 Issued in NY
Practice address
1494 Ocean Ave # P1
Brooklyn, NY 11230-4581
Phone
(718) 570-3360
Fax
(718) 228-3845
NPI assigned
Aug 27, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 061042 NY Primary

Addresses

Primary practice location

1494 Ocean Ave # P1
Brooklyn, NY 11230-4581

Mailing address

1494 Ocean Ave # P1
Brooklyn, NY 11230-4581
Phone (718) 570-3360

Other names 1

  • Dr. Aleksandr S Kagzanov Other 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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
061042NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Urgentrx LLC CurrentSince Oct 1, 2023 Accepting new patients
Urgentrx LLC PastSince Oct 1, 2023 Accepting new patients

Locations

1494 Ocean Ave
Ste P1
Brooklyn, NY 11230
Phone (718) 570-3360

Organizations & group practices 2

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": "1440633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1184091928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1494 OCEAN AVE # P1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112304581",
            "telephone_number": "718-570-3360",
            "fax_number": "718-228-3845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1494 OCEAN AVE # P1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112304581",
            "telephone_number": "718-570-3360",
            "fax_number": "718-228-3845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAGZANOV",
        "first_name": "ALEX",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-27",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "061042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEKSANDR",
            "last_name": "KAGZANOV",
            "middle_name": "S",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 28, 2023; 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.