Irina Niyazov

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

049809 Issued in NY

Practice address

9109 63Rd Dr
Rego Park, NY 11374-3849

Phone

(718) 255-6100

NPI assigned

May 1, 2019

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

State licenses

Practice roles

Locations

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.

• All Source Plus Corp.

  dba All-Source Pharmacy & Surgical

  • Community/Retail Pharmacy
  • Rego Park, NY
  • NPI 1417512500
  NPD Authorized official

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

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1386209781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9109 63RD DR",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743849",
            "telephone_number": "718-255-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9109 63RD DR",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743849",
            "telephone_number": "718-255-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIYAZOV",
        "first_name": "IRINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-01",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NY",
            "license": "049809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quiana M Nichol
• Arisa Nimnuan, RN
• Chamnong Nimnuan, L.P.N.
• Yakov Nisimov, NP
• Serafima Nisimova, OD
• Anna Niyazova, PHARMD.
• Anabela Nobrega, M.S. ED
• Norma Sullivan
• Imma Normatova, MS, RD, CLC
• Mazal Normatova

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; 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.