Active NPI
Elena Nikolaeva
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1316202500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 056887
- Practice address
- 119 Church Ave
Brooklyn, NY 11218-3917 - Phone
- (718) 686-7343
- NPI assigned
- Jul 12, 2012
- Last updated
- Sep 27, 2026
- 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 | 056887 | NY | Primary |
Addresses
Primary practice location
119 Church Ave
Brooklyn, NY 11218-3917
Mailing address
1717 77TH St
Brooklyn, NY 11214-1111
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 |
|---|---|---|---|
| 056887 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790467200000",
"number": "1316202500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 77TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112141111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 CHURCH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112183917",
"telephone_number": "718-686-7343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIKOLAEVA",
"first_name": "ELENA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-12",
"last_updated": "2026-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "056887",
"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 Sep 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.