Active NPI
Stella Borukhova, PHARMD
- Pharmacist
- Bronx, NY
National Provider Identifier
1336557990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 058579
- Practice address
- 541 W 235TH St
Bronx, NY 10463-1708 - Phone
- (718) 548-8600
- NPI assigned
- Jul 28, 2014
- Sex
- Female
- 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 | 058579 | NY | Primary |
Addresses
Primary practice location
541 W 235TH St
Bronx, NY 10463-1708
Mailing address
541 W 235TH St
Bronx, NY 10463-1708
Phone (718) 548-8600
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 |
|---|---|---|---|
| 058579 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smartpills Pharmacy Inc. | Pharmacist | Current | Accepting new patients |
| Smartpills Pharmacy Inc. | Current | Accepting new patients | |
| Riverdale Drugs & Surgical, Inc. | Current | Accepting new patients |
Organizations & group practices 3
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.
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1427572783
-
- Long Term Care Pharmacy
- Jamaica, NY
- NPI 1831919943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406505600000",
"number": "1336557990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "541 W 235TH ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104631708",
"telephone_number": "718-548-8600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "541 W 235TH ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104631708",
"telephone_number": "718-548-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORUKHOVA",
"first_name": "STELLA",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-28",
"last_updated": "2014-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "058579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.