Stella Davidova, PHARM.D

Primary specialty

PharmacistTaxonomy code 183500000X

License

068664 Issued in NY

Practice address

8911 63Rd Dr Apt 228
Rego Park, NY 11374-3839

Phone

(646) 479-2484

NPI assigned

Dec 6, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1336807593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8911 63RD DR APT 228",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8911 63RD DR APT 228",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743839",
            "telephone_number": "646-479-2484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDOVA",
        "first_name": "STELLA",
        "credential": "PHARM.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-06",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "068664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Davidov Psychiatric Care,P.C.
• Jacob Davidov, LICENSED OPTICIAN
• Katerina Davidov, SLP
• Ludmila Davidov
• Luiza Davidova
• Larissa Davids, DDS
• Andrea Robin Davis, RD
• Brian Davis, LMSW
• Jennise Olivia Davis
• Dmitry Davy, DDS

• Pharmacist in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.