Individual provider Active NPI

Yakov Abdurakhmanov, PHARM D

  • Pharmacist
  • Kew Gardens, NY
National Provider Identifier
1326328832
Registry record updated Nov 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
056064 Issued in NY
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

Updated by the provider on Nov 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
056064NYMDDentist

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.

Verify at the official NPI Registry.