Active NPI
Natalya Elyevna Magurdumova, PHARMACIST
- Pharmacist
- Forest Hills, NY
National Provider Identifier
1235452095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 044125
- Practice address
- 11810 Queens Blvd
Forest Hills, NY 11375 - Phone
- (718) 520-4530
- Fax
- (718) 793-7289
- NPI assigned
- Mar 9, 2010
- Sex
- Female
- Sole proprietor
- No
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 | 044125 | NY | Primary |
Addresses
Primary practice location
11810 Queens Blvd
Forest Hills, NY 11375
Mailing address
118-10 Queens Blvd
Forest Hills, NY 11375
Phone (718) 520-4530
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RUBEN0521 | Medicaid | NY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 044125 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268092800000",
"number": "1235452095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118-10 QUEENS BLVD",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "11375",
"telephone_number": "718-520-4530",
"fax_number": "718-793-7289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11810 QUEENS BLVD",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "11375",
"telephone_number": "718-520-4530",
"fax_number": "718-793-7289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGURDUMOVA",
"first_name": "NATALYA",
"middle_name": "ELYEVNA",
"name_prefix": "Mrs.",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-09",
"last_updated": "2010-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "044125",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RUBEN0521",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.