Active NPI
Irina Vadimovna Valdez
- Pharmacist
- Hyde Park, NY
National Provider Identifier
1295913044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 048633-1
- Practice address
- 4246 Albany Post Rd
Suite#2
Hyde Park, NY 12538 - Phone
- (845) 229-2224
- Fax
- (845) 229-1102
- NPI assigned
- Feb 4, 2008
- 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 | 048633-1 | NY | Primary |
Addresses
Primary practice location
4246 Albany Post Rd
Suite#2
Hyde Park, NY 12538
Mailing address
4246 Albany Post Rd
Suite#2
Hyde Park, NY 12538
Phone (845) 229-2224
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
| License | State | Type | Specialty |
|---|---|---|---|
| 048633-1 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Albany LLC | Past | Accepting new patients | |
| CVS Albany LLC | Past | Accepting new patients |
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": "1202083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202083200000",
"number": "1295913044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4246 ALBANY POST RD",
"address_2": "SUITE#2",
"city": "HYDE PARK",
"state": "NY",
"postal_code": "12538",
"telephone_number": "845-229-2224",
"fax_number": "845-229-1102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4246 ALBANY POST RD",
"address_2": "SUITE#2",
"city": "HYDE PARK",
"state": "NY",
"postal_code": "12538",
"telephone_number": "845-229-2224",
"fax_number": "845-229-1102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALDEZ",
"first_name": "IRINA",
"middle_name": "VADIMOVNA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-04",
"last_updated": "2008-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "048633-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.