Individual provider Active NPI

Boris D Yunatanov

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1295340313
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
066959 Issued in NY
Practice address
711 Bedford Ave
Brooklyn, NY 11206-5428
Phone
(718) 855-0214
NPI assigned
Sep 15, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 066959 NY Primary

Addresses

Primary practice location

711 Bedford Ave
Brooklyn, NY 11206-5428

Mailing address

6420 Saunders St Apt D5
Rego Park, NY 11374-3204
Phone (718) 687-9043

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

State licenses

LicenseStateTypeSpecialty
066959NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Wallabout Pharmacy Inc CurrentSince Mar 17, 2024 Accepting new patients
Curahealth Specialty Pharmacy Corp. Current Accepting new patients
Wallabout Pharmacy Inc PastSince Sep 20, 2020 Accepting new patients

Locations

711 Bedford Ave
Brooklyn, NY 11206
Phone (718) 855-0214

Organizations & group practices 3

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": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1295340313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 SAUNDERS ST APT D5",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743204",
            "telephone_number": "718-687-9043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 BEDFORD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112065428",
            "telephone_number": "718-855-0214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUNATANOV",
        "first_name": "BORIS",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-15",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "066959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.