Mariya N Braginsky, PHARM.D

Primary specialty

PharmacistTaxonomy code 183500000X

License

053413 Issued in NY

Practice address

4020 Hylan Blvd
Staten Island, NY 10308-3331

Phone

(718) 948-4848

Fax

(718) 948-4899

NPI assigned

Jun 9, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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.

• Southshore Pharmacy Corp.

  • Pharmacy
  • Staten Island, NY
  • NPI 1417183518
  NPD Authorized official

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1407082142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103083331",
            "telephone_number": "718-948-4848",
            "fax_number": "817-948-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103083331",
            "telephone_number": "718-948-4848",
            "fax_number": "718-948-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAGINSKY",
        "first_name": "MARIYA",
        "middle_name": "N",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-09",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "053413",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RJ02960100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richmond Bradshaw Jr.
• Alexandra Brady, PA
• Mary Brady, RN
• Scott Brady, PT
• Carolina Elizabeth Braginsky
• Jamie Bragoudakis, PHARMD
• Priscilla Bragoudakis, RPH
• Nia Braithwaite
• Sarah Braithwaite
• Gladys Brako

• All providers in Staten Island, NY
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.

Verify at the official NPI Registry.