Individual provider Active NPI

Svetlana Denevich, PHARMD

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1255700266
Registry record updated Sep 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
060510 Issued in NY
Practice address
2387 Ocean Ave
Apt 5E
Brooklyn, NY 11229-3543
Phone
(857) 489-0502
NPI assigned
Sep 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 060510 NY Primary

Addresses

Primary practice location

2387 Ocean Ave
Apt 5E
Brooklyn, NY 11229-3543

Mailing address

2387 Ocean Ave
Apt 5E
Brooklyn, NY 11229-3543
Phone (857) 489-0502

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
060510NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1442707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442707200000",
    "number": "1255700266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2387 OCEAN AVE",
            "address_2": "APT 5E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293543",
            "telephone_number": "857-489-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2387 OCEAN AVE",
            "address_2": "APT 5E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293543",
            "telephone_number": "857-489-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENEVICH",
        "first_name": "SVETLANA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-20",
        "last_updated": "2015-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "060510",
            "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 Sep 20, 2015; 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.