Active NPI
Marina Davydova, PHARM.D.
- Pharmacist
- Forest Hills, NY
National Provider Identifier
1245552090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051331-1
- Practice address
- 10235 64TH Rd
Apt # 2F
Forest Hills, NY 11375-1545 - Phone
- (718) 427-0977
- NPI assigned
- Feb 22, 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 | 051331-1 | NY | Primary |
Addresses
Primary practice location
10235 64TH Rd
Apt # 2F
Forest Hills, NY 11375-1545
Mailing address
102-35 64TH Road
Apt # 2F
Forest Hills, NY 11375
Phone (718) 427-0977
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
| License | State | Type | Specialty |
|---|---|---|---|
| 051331-1 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266796800000",
"number": "1245552090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102-35 64TH ROAD",
"address_2": "APT # 2F",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "11375",
"telephone_number": "718-427-0977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10235 64TH RD",
"address_2": "APT # 2F",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113751545",
"telephone_number": "718-427-0977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVYDOVA",
"first_name": "MARINA",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-22",
"last_updated": "2010-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "051331-1",
"primary": true
}
],
"identifiers": [],
"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 Feb 22, 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.