Individual provider Active NPI

Gabriela Yavich, PHARM D

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1376790246
Registry record updated Aug 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
047769 Issued in NY
Practice address
7124 Bay Pkwy
Brooklyn, NY 11204-6016
Phone
(718) 236-3274
Fax
(718) 236-6630
NPI assigned
Aug 22, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 047769 NY Primary

Addresses

Primary practice location

7124 Bay Pkwy
Brooklyn, NY 11204-6016

Mailing address

7526 Bell Blvd
Apt. 3a
Oakland Gardens, NY 11364-3453
Phone (347) 239-5404

Other identifiers 1

IdentifierTypeStateIssuer
02880995MedicaidNY

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

Practice roles

OrganizationSpecialtyStatusNew patients
Parkway RX Corp Past Accepting new patients
Parkway RX Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219363200000",
    "number": "1376790246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7526 BELL BLVD",
            "address_2": "APT. 3A",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113643453",
            "telephone_number": "347-239-5404",
            "fax_number": "718-236-6630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7124 BAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112046016",
            "telephone_number": "718-236-3274",
            "fax_number": "718-236-6630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAVICH",
        "first_name": "GABRIELA",
        "name_prefix": "Miss",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-22",
        "last_updated": "2008-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "047769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02880995",
            "state": "NY"
        }
    ],
    "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 Aug 22, 2008; 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.