Active NPI
Larissa Rezhets, RPH
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1366750911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 045320
- Practice address
- 5313 5TH Ave
Ground Floor
Brooklyn, NY 11220-3110 - Phone
- (718) 567-8000
- NPI assigned
- Sep 16, 2010
- Last updated
- Sep 16, 2010
- 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 | 045320 | NY | Primary |
Addresses
Primary practice location
5313 5TH Ave
Ground Floor
Brooklyn, NY 11220-3110
Mailing address
165-15 Uliza Maksima Gorkogo
Apt 2
Tashkent, TASHKENT 07770
UZ
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 045320 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Max 5TH Avenue Inc. | Past | Accepting new patients |
Organizations & group practices 1
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": "1284595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284595200000",
"number": "1366750911",
"addresses": [
{
"country_code": "UZ",
"country_name": "Uzbekistan",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "165-15 ULIZA MAKSIMA GORKOGO",
"address_2": "APT 2",
"city": "TASHKENT",
"state": "TASHKENT",
"postal_code": "07770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5313 5TH AVE",
"address_2": "GROUND FLOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112203110",
"telephone_number": "718-567-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REZHETS",
"first_name": "LARISSA",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-16",
"last_updated": "2010-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "045320",
"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 Sep 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.