Active NPI
Alex Noskov, R.PH.
- Pharmacist
- New York, NY
National Provider Identifier
1265756654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 043035
- Practice address
- 385 2ND Ave
New York, NY 10010-4617 - Phone
- (212) 684-8300
- NPI assigned
- Mar 15, 2010
- Last updated
- Mar 15, 2010
- Sex
- Male
- 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 | 043035 | NY | Primary |
Addresses
Primary practice location
385 2ND Ave
New York, NY 10010-4617
Mailing address
267 Dover St
Brooklyn, NY 11235-3721
Phone (212) 286-8400
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
| License | State | Type | Specialty |
|---|---|---|---|
| 043035 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth Pharmacy Inc | Current | Accepting new patients |
Locations
385 2nd Ave
New York, NY 10010
Phone (212) 684-8300
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268611200000",
"number": "1265756654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "267 DOVER ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112353721",
"telephone_number": "212-286-8400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "385 2ND AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100104617",
"telephone_number": "212-684-8300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOSKOV",
"first_name": "ALEX",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-15",
"last_updated": "2010-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "043035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.