Individual provider Active NPI

Roman Morgovskiy, DOCTOR OF PHARMACY

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1245735687
Registry record updated Mar 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
063731-1 Issued in NY
Practice address
2262 E 28TH St FL 2
Brooklyn, NY 11229-5058
Phone
(347) 254-6293
NPI assigned
Mar 28, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 063731-1 NY Primary

Addresses

Primary practice location

2262 E 28TH St FL 2
Brooklyn, NY 11229-5058

Mailing address

2262 E 28TH St FL 2
Brooklyn, NY 11229-5058
Phone (347) 254-6293

Other identifiers 1

IdentifierTypeStateIssuer
063731-1OtherNYNATIONAL BOARD OF PHARMACY NABP

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
063731-1NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522195200000",
    "number": "1245735687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2262 E 28TH ST FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112295058",
            "telephone_number": "347-254-6293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2262 E 28TH ST FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112295058",
            "telephone_number": "347-254-6293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGOVSKIY",
        "first_name": "ROMAN",
        "credential": "DOCTOR OF PHARMACY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-28",
        "last_updated": "2018-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "063731-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL BOARD OF PHARMACY NABP",
            "identifier": "063731-1",
            "state": "NY"
        }
    ],
    "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 Mar 28, 2018; 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.