Active NPI
Mariya Mullokandova
- Pharmacist
- Forest Hills, NY
National Provider Identifier
1265067862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 066487
- Practice address
- 6260 108TH St Apt 4J
Forest Hills, NY 11375-1303 - Phone
- (646) 385-9733
- NPI assigned
- Mar 4, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 066487 | NY | Primary |
Addresses
Primary practice location
6260 108TH St Apt 4J
Forest Hills, NY 11375-1303
Mailing address
6260 108TH St Apt 4J
Forest Hills, NY 11375-1303
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mariya.mullokandova@my.liu.edu |
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 |
|---|---|---|---|
| 066487 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583280000000",
"number": "1265067862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6260 108TH ST APT 4J",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113751303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6260 108TH ST APT 4J",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113751303",
"telephone_number": "646-385-9733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLOKANDOVA",
"first_name": "MARIYA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-04",
"last_updated": "2020-03-04",
"certification_date": "2020-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "066487",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mariya.mullokandova@my.liu.edu",
"affiliation": "N",
"address_1": "6260 108th St Apt 4J",
"city": "Forest Hills",
"state": "NY",
"country_code": "US",
"postal_code": "113751303",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.