Individual provider Active NPI

Yanina Edelshteyn, PHARM.D

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1205257938
Registry record updated Dec 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
058835 Issued in NY
Practice address
1513 Royce St
Apt 1G
Brooklyn, NY 11234-5878
Phone
(347) 204-6116
NPI assigned
Dec 24, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 058835 NY Primary

Addresses

Primary practice location

1513 Royce St
Apt 1G
Brooklyn, NY 11234-5878

Mailing address

1513 Royce St
Apt 1G
Brooklyn, NY 11234-5878
Phone (347) 204-6116

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
058835NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1387843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387843200000",
    "number": "1205257938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 ROYCE ST",
            "address_2": "APT 1G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345878",
            "telephone_number": "347-204-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 ROYCE ST",
            "address_2": "APT 1G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345878",
            "telephone_number": "347-204-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDELSHTEYN",
        "first_name": "YANINA",
        "name_prefix": "Miss",
        "credential": "PHARM.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-24",
        "last_updated": "2013-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "058835",
            "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 24, 2013; 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.