Individual provider Active NPI

Yuliya Dovhanych, RPH

  • Pharmacist
  • Hollis, NY
National Provider Identifier
1265028211
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
066647 Issued in NY
Practice address
19619 Jamaica Ave
Hollis, NY 11423-2641
Phone
(929) 499-3013
Fax
(929) 499-3014
NPI assigned
Dec 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 066647 NY Primary

Addresses

Primary practice location

19619 Jamaica Ave
Hollis, NY 11423-2641

Mailing address

173 Post Ave
Westbury, NY 11590-3100

Electronic endpoints 7

TypeEndpointUseAffiliation
CONNECT URL Westbury Direct
CONNECT URL Westbury Direct
CONNECT URL Westbury Direct
CONNECT URL Westbury Direct
CONNECT URL Westbury Direct
CONNECT URL Westbury Direct
CONNECT URL Westbury Direct

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
066647NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ijem LLC Current Accepting new patients
All Med RX Inc CurrentSince May 19, 2024 Accepting new patients
Westbury Drug Corp PastSince Dec 1, 2020 Accepting new patients

Locations

19619 Jamaica Ave
Hollis, NY 11423
Phone (929) 499-3013

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1265028211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 POST AVE",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115903100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19619 JAMAICA AVE",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114232641",
            "telephone_number": "929-499-3013",
            "fax_number": "929-499-3014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOVHANYCH",
        "first_name": "YULIYA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-14",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "066647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Westbury",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "173 Post Ave",
            "city": "Westbury",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115903100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Westbury",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "173 Post Ave",
            "city": "Westbury",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115903100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Westbury",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "173 Post Ave",
            "city": "Westbury",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115903100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Westbury",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "173 Post Ave",
            "city": "Westbury",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115903100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Westbury",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "173 Post Ave",
            "city": "Westbury",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115903100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Westbury",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "173 Post Ave",
            "city": "Westbury",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115903100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Westbury",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "173 Post Ave",
            "city": "Westbury",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115903100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hollis, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.