Active NPI
Irina Ilyayeva, PHARMD
- Pharmacist
- Hempstead, NY
National Provider Identifier
1295339992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 067131
- Practice address
- 397 Fulton Ave
Hempstead, NY 11550-4127 - Phone
- (516) 483-3000
- NPI assigned
- Nov 24, 2020
- Sex
- Female
- 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 | 067131 | NY | Primary |
Addresses
Primary practice location
397 Fulton Ave
Hempstead, NY 11550-4127
Mailing address
9 Saddle Brook CT
Dix Hills, NY 11746-6162
Phone (718) 288-5212
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 067131 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier RX Corp | Current | Accepting new patients | |
| Natures Pharmacy Inc | Past | Accepting new patients |
Locations
397 Fulton Ave
Hempstead, NY 11550
Phone (516) 483-3000
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606176000000",
"number": "1295339992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 SADDLE BROOK CT",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "117466162",
"telephone_number": "718-288-5212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "397 FULTON AVE",
"city": "HEMPSTEAD",
"state": "NY",
"postal_code": "115504127",
"telephone_number": "516-483-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ILYAYEVA",
"first_name": "IRINA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-24",
"last_updated": "2020-11-24",
"certification_date": "2020-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "067131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hempstead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.