Active NPI
Yakov Abdurakhmanov, PHARM D
- Pharmacist
- Kew Gardens, NY
National Provider Identifier
1326328832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 056064
- Practice address
- 8548 118TH St
Kew Gardens, NY 11415-2908 - Phone
- (347) 866-1785
- NPI assigned
- Aug 29, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 056064 | NY | Primary |
Addresses
Primary practice location
8548 118TH St
Kew Gardens, NY 11415-2908
Mailing address
21939 74TH Ave # 1
Oakland Gardens, NY 11364-3031
Phone (347) 866-1785
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056064 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479427200000",
"number": "1326328832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21939 74TH AVE # 1",
"city": "OAKLAND GARDENS",
"state": "NY",
"postal_code": "113643031",
"telephone_number": "347-866-1785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8548 118TH ST",
"city": "KEW GARDENS",
"state": "NY",
"postal_code": "114152908",
"telephone_number": "347-866-1785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDURAKHMANOV",
"first_name": "YAKOV",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-29",
"last_updated": "2016-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "056064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kew Gardens, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.