Vadim Evstifeev, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

PHCY-04586 Issued in NH

Practice address

58 Plaistow Rd
Plaistow, NH 03865-2831

Phone

(603) 382-2844

NPI assigned

Jan 13, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Publix Super Markets Inc

  • Community/Retail Pharmacy
  • Winter Haven, FL
  • NPI 1760356380
  NPD (past)

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

{
    "created_epoch": "1358035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1285971051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 PLAISTOW RD",
            "city": "PLAISTOW",
            "state": "NH",
            "postal_code": "038652831",
            "telephone_number": "603-382-2844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 PLAISTOW RD",
            "city": "PLAISTOW",
            "state": "NH",
            "postal_code": "038652831",
            "telephone_number": "603-382-2844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVSTIFEEV",
        "first_name": "VADIM",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-13",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "27624",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS46972",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NH",
            "license": "PHCY-04586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Marianna Earle-Handley, OD
• Edelstein Family & Sports Chiropractic, P.C.
• Edelstein Family and Sports Chiropractic, P.C.
• Andrew Edelstein, CCEP
• Sarah Ekbatani, PHARMD
• Celia K. Felsenberg, L.I.C.S.W.
• John Anthony Fleno
• Florida Counseling Professionals, LLC
• Food for Thought Nutrition and Speech Therapy Services LLC
• Alyssa Fraser

• Pharmacist in Plaistow, NH
• Providers in Plaistow, NH by specialty
• Pharmacist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.

Verify at the official NPI Registry.