Active NPI
Simon Baturov, RPH
- Pharmacist
- Jamaica, NY
National Provider Identifier
1437381423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- I048499-1
- Practice address
- 11717 Guy R Brewer Blvd
Jamaica, NY 11434-2148 - Phone
- (718) 525-5005
- NPI assigned
- Aug 10, 2009
- 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 | I048499-1 | NY | Primary |
Addresses
Primary practice location
11717 Guy R Brewer Blvd
Jamaica, NY 11434-2148
Mailing address
117-17 Guy Brewer Blvd
Jamaica, NY 11434-1702
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I048499-1 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guy Brewer Pharmacy Inc. | Pharmacist | Current | Accepting new patients |
Locations
11717 Guy R Brewer Blvd
Jamaica, NY 11434
Phone (718) 525-5005
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377129600000",
"number": "1437381423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117-17 GUY BREWER BLVD",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114341702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11717 GUY R BREWER BLVD",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114342148",
"telephone_number": "718-525-5005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATUROV",
"first_name": "SIMON",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-10",
"last_updated": "2013-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "I048499-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.