Active NPI
Stanislav Zavulunov, RPH
- Pharmacist
- Forest Hills, NY
National Provider Identifier
1285966978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 048688
- Practice address
- 11821 Queens Blvd Ste 608
Forest Hills, NY 11375-7206 - Phone
- (347) 535-5333
- Fax
- (347) 535-5334
- NPI assigned
- Feb 4, 2010
- Sex
- Male
- Sole proprietor
- No
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 | 048688 | NY | Primary |
Addresses
Primary practice location
11821 Queens Blvd Ste 608
Forest Hills, NY 11375-7206
Mailing address
11821 Queens Blvd Ste 608
Forest Hills, NY 11375-7206
Phone (347) 535-5333
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 |
|---|---|---|---|
| 048688 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629936000000",
"number": "1285966978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11821 QUEENS BLVD STE 608",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113757206",
"telephone_number": "347-535-5333",
"fax_number": "347-535-5334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11821 QUEENS BLVD STE 608",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113757206",
"telephone_number": "347-535-5333",
"fax_number": "347-535-5334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAVULUNOV",
"first_name": "STANISLAV",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-04",
"last_updated": "2021-08-26",
"certification_date": "2021-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "048688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Aug 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.