Individual provider Active NPI

Margarita Khayumova, PHARM.D

  • Pharmacist
  • Forest Hills, NY
National Provider Identifier
1407170160
Registry record updated May 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
052792 Issued in NY
Practice address
10525 64TH Ave Apt 4E
Forest Hills, NY 11375-1673
Phone
(917) 617-8663
Fax
(718) 268-4099
NPI assigned
Mar 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 052792 NY Primary

Addresses

Primary practice location

10525 64TH Ave Apt 4E
Forest Hills, NY 11375-1673

Mailing address

7530 190TH St
Fresh Meadows, NY 11366-1856
Phone (917) 617-8663

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
052792NYMDOrthopedic Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304985600000",
    "number": "1407170160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7530 190TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661856",
            "telephone_number": "917-617-8663",
            "fax_number": "718-740-2562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10525 64TH AVE APT 4E",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751673",
            "telephone_number": "917-617-8663",
            "fax_number": "718-268-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAYUMOVA",
        "first_name": "MARGARITA",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-23",
        "last_updated": "2011-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "052792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; 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.