Individual provider Active NPI

Elizabeth Mestechkina

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1306501713
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
I068471-01 Issued in NY
Practice address
355 Avenue X
Brooklyn, NY 11223-5915
Phone
(718) 975-7757
NPI assigned
Nov 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X I068471-01 NY Primary

Addresses

Primary practice location

355 Avenue X
Brooklyn, NY 11223-5915

Mailing address

355 Avenue X
Brooklyn, NY 11223-5915
Phone (718) 975-7757

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
I068471-01NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Brooklyn Family Pharmacy, Inc. CurrentSince Nov 9, 2021 Accepting new patients
Brooklyn Family Pharmacy, Inc. CurrentSince Aug 14, 2022 Accepting new patients

Locations

355 Avenue X
Brooklyn, NY 11223
Phone (718) 975-7757

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": "1635811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1306501713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 AVENUE X",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235915",
            "telephone_number": "718-975-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 AVENUE X",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235915",
            "telephone_number": "718-975-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESTECHKINA",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "I068471-01",
            "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 Nov 2, 2021; 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.