Individual provider Active NPI

Nurit Abdurahmanov, PHARMD

  • Pharmacist
  • Bronx, NY
National Provider Identifier
1417333600
Registry record updated Mar 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
060846 Issued in NY
Practice address
3590 E Tremont Ave
Bronx, NY 10465-2005
Phone
(718) 792-9258
NPI assigned
Aug 11, 2015
Last updated
Mar 26, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 060846 NY Primary

Addresses

Primary practice location

3590 E Tremont Ave
Bronx, NY 10465-2005

Mailing address

10421 68TH Dr Apt A21
Forest Hills, NY 11375-3440
Phone (917) 946-6282

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
060846NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490486400000",
    "number": "1417333600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10421 68TH DR APT A21",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753440",
            "telephone_number": "917-946-6282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3590 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104652005",
            "telephone_number": "718-792-9258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDURAHMANOV",
        "first_name": "NURIT",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-11",
        "last_updated": "2017-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "060846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2017; 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.