Active NPI
Ella Khavasova
- Pharmacist
- New York, NY
National Provider Identifier
1427472695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 058696
- Practice address
- 49 E 52ND St
New York, NY 10022-5965 - Phone
- (212) 888-2323
- NPI assigned
- Feb 9, 2014
- Last updated
- Sep 4, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 058696 | NY | Primary |
Addresses
Primary practice location
49 E 52ND St
New York, NY 10022-5965
Mailing address
49 E 52ND St
New York, NY 10022-5965
Phone (212) 888-2323
Other names 1
- Ella Khavasova
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 058696 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725408000000",
"number": "1427472695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 E 52ND ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100225965",
"telephone_number": "212-888-2323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 E 52ND ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100225965",
"telephone_number": "212-888-2323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAVASOVA",
"first_name": "ELLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-09",
"last_updated": "2024-09-04",
"certification_date": "2024-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "058696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELLA",
"last_name": "KHAVASOVA",
"credential": "PHARM D",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.