Individual provider Active NPI

Yelena Plavskin

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1194047993
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
045559 Issued in NY
Practice address
105 Brighton Beach Ave
Brooklyn, NY 11235-8001
Phone
(718) 449-9188
Fax
(718) 449-9214
NPI assigned
Feb 19, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 045559 NY Primary

Addresses

Primary practice location

105 Brighton Beach Ave
Brooklyn, NY 11235-8001

Mailing address

105 Brighton Beach Ave
Brooklyn, NY 11235-8001
Phone (718) 449-9188

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
045559NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Duane Reade CurrentSince Apr 24, 2022 Accepting new patients
Duane Reade PastSince Apr 24, 2022 Accepting new patients
Duane Reade PastSince Dec 13, 2020 Accepting new patients

Locations

105 Brighton Beach Ave
Brooklyn, NY 11235
Phone (718) 449-9188

Organizations & group practices 3

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": "1266537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1194047993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 BRIGHTON BEACH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358001",
            "telephone_number": "718-449-9188",
            "fax_number": "718-449-9214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 BRIGHTON BEACH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358001",
            "telephone_number": "718-449-9188",
            "fax_number": "718-449-9214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLAVSKIN",
        "first_name": "YELENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-19",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "045559",
            "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 Dec 9, 2020; 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.