Active NPI
Elisha Kohanbash, PHARM D.
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1396289641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 062547
- Practice address
- 1720 Kings Hwy
Brooklyn, NY 11229-1208 - Phone
- (718) 998-3377
- NPI assigned
- Dec 6, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 | 062547 | NY | Primary |
Addresses
Primary practice location
1720 Kings Hwy
Brooklyn, NY 11229-1208
Mailing address
1649 E 37TH St
Brooklyn, NY 11234-4220
Phone (347) 628-3345
Other practice location 1
2577 Nostrand Ave
Brooklyn, NY 11210-4640
Phone (347) 628-3345
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
| License | State | Type | Specialty |
|---|---|---|---|
| 062547 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Modern Remedies LLC | Current | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605052800000",
"number": "1396289641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1649 E 37TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112344220",
"telephone_number": "347-628-3345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 KINGS HWY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112291208",
"telephone_number": "718-998-3377"
}
],
"practiceLocations": [
{
"address_1": "2577 Nostrand Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112104640",
"country_code": "US",
"telephone_number": "347-628-3345",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOHANBASH",
"first_name": "ELISHA",
"name_prefix": "Dr.",
"credential": "PHARM D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-12-06",
"last_updated": "2020-11-11",
"certification_date": "2020-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "062547",
"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 Nov 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.