Active NPI
Igor Vladimirskiy, RPH
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1205239571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 059934
- Practice address
- 6308 23Rd Ave Apt B1
Brooklyn, NY 11204-3302 - Phone
- (917) 974-0059
- NPI assigned
- Oct 1, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 059934 | NY | Primary |
Addresses
Primary practice location
6308 23Rd Ave Apt B1
Brooklyn, NY 11204-3302
Mailing address
6308 23Rd Ave Apt B1
Brooklyn, NY 11204-3302
Phone (917) 974-0059
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
| License | State | Type | Specialty |
|---|---|---|---|
| 059934 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412121600000",
"number": "1205239571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6308 23RD AVE APT B1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112043302",
"telephone_number": "917-974-0059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6308 23RD AVE APT B1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112043302",
"telephone_number": "917-974-0059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VLADIMIRSKIY",
"first_name": "IGOR",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-10-01",
"last_updated": "2014-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "059934",
"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 Oct 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.