Individual provider Active NPI

Nicholas Chervinsky, RPH

  • Pharmacist
  • Brewerton, NY
National Provider Identifier
1306006572
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
025446 Issued in NY
Practice address
9679 Brewerton Rd
Brewerton, NY 13029-8738
Phone
(315) 676-4441
Fax
(315) 676-5255
NPI assigned
Jun 11, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 025446 NY Primary

Addresses

Primary practice location

9679 Brewerton Rd
Brewerton, NY 13029-8738

Mailing address

9679 Brewerton Rd
Brewerton, NY 13029-8738
Phone (315) 676-4441

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

Practice roles

OrganizationSpecialtyStatusNew patients
N & N Village Pharmacy Inc CurrentSince Apr 12, 1999 Accepting new patients
Brewerton Pharmacy Inc Current Accepting new patients

Locations

9679 Brewerton Rd
Brewerton, NY 13029
Phone (315) 676-4441

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": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213142400000",
    "number": "1306006572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9679 BREWERTON RD",
            "city": "BREWERTON",
            "state": "NY",
            "postal_code": "130298738",
            "telephone_number": "315-676-4441",
            "fax_number": "315-676-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9679 BREWERTON RD",
            "city": "BREWERTON",
            "state": "NY",
            "postal_code": "130298738",
            "telephone_number": "315-676-4441",
            "fax_number": "315-676-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERVINSKY",
        "first_name": "NICHOLAS",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-11",
        "last_updated": "2008-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "025446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brewerton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.

Verify at the official NPI Registry.