Active NPI
Mekhribon Sattarova
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1356004436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- I06835401
- Practice address
- 105 Brighton Beach Ave
Brooklyn, NY 11235-8001 - Phone
- (718) 449-9188
- NPI assigned
- Oct 15, 2021
- Last updated
- Oct 15, 2021
- 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 | I06835401 | NY | Primary |
Addresses
Primary practice location
105 Brighton Beach Ave
Brooklyn, NY 11235-8001
Mailing address
6309 Bay Pkwy Apt F8
Brooklyn, NY 11204-3267
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 |
|---|---|---|---|
| I06835401 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duane Reade | Current | Accepting new patients | |
| Duane Reade | Past | Accepting new patients |
Locations
105 Brighton Beach Ave
Brooklyn, NY 11235
Phone (718) 449-9188
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634256000000",
"number": "1356004436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6309 BAY PKWY APT F8",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112043267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 BRIGHTON BEACH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112358001",
"telephone_number": "718-449-9188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SATTAROVA",
"first_name": "MEKHRIBON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-15",
"last_updated": "2021-10-15",
"certification_date": "2021-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "I06835401",
"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 Oct 15, 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.