Larisa Novodvorskaya

Primary specialty

PharmacistTaxonomy code 183500000X

License

046324-1 Issued in NY

Practice address

325 New Dorp LN
Staten Island, NY 10306-3005

Phone

(718) 351-2400

Fax

(718) 354-5400

NPI assigned

Mar 20, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Lenlak Inc

  • Specialty Pharmacy
  • Staten Island, NY
  • NPI 1053774570
  NPD
• Lenlak Inc

  • Long Term Care Pharmacy
  • Staten Island, NY
  • NPI 1508680992
  NPD

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511308800000",
    "number": "1285805994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 NEW DORP LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063005",
            "telephone_number": "718-351-2400",
            "fax_number": "718-351-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 NEW DORP LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063005",
            "telephone_number": "718-351-2400",
            "fax_number": "718-354-5400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2660 Hylan Blvd",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103064355",
            "country_code": "US",
            "telephone_number": "718-668-2972",
            "fax_number": "718-668-2974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOVODVORSKAYA",
        "first_name": "LARISA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-20",
        "last_updated": "2017-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "046324-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Novack
• Sarah Alexandra Novak, PT, DPT
• Vladan Novakovic, MD
• Anthony Thomas Novello
• Laura Marie Novello, M.S., CCC-SLP
• Anetta Maria Nowak, PHARMD
• Dawn E Nowak, FNP
• Patrick Nowak, D.P.M.
• Jeremy Nowakowski, FNP
• Katarzyna Weronika Nowicka, CCC-SLP

• Pharmacist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2017; 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.