Individual provider Active NPI

Zachary Ira Petrovski, PHARMD

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1386351492
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
069212 Issued in NY
Practice address
701 Brighton Beach Ave
Brooklyn, NY 11235-6413
Phone
(718) 743-1800
NPI assigned
Oct 31, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 069212 NY Primary

Addresses

Primary practice location

701 Brighton Beach Ave
Brooklyn, NY 11235-6413

Mailing address

839 W Fingerboard Rd
Staten Island, NY 10305-1537
Phone (347) 979-5976

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

State licenses

LicenseStateTypeSpecialty
069212NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brighton Pharmacy II ,Inc PastSince Nov 6, 2022 Accepting new patients
Brighton Pharmacy Inc PastSince Nov 6, 2022 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": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1386351492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 W FINGERBOARD RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103051537",
            "telephone_number": "347-979-5976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 BRIGHTON BEACH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356413",
            "telephone_number": "718-743-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROVSKI",
        "first_name": "ZACHARY",
        "middle_name": "IRA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "069212",
            "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 31, 2022; 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.