Dennis Ilitchev, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

063596 Issued in NY

Practice address

2044 80TH St
Brooklyn, NY 11214-1821

Phone

(718) 234-7480

NPI assigned

Oct 12, 2017

Last updated

Oct 12, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507766400000",
    "number": "1447761861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2044 80TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2044 80TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141821",
            "telephone_number": "718-234-7480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILITCHEV",
        "first_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-12",
        "last_updated": "2017-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "063596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERN PERMIT",
            "identifier": "092008",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "063596",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alla Ilinsky, DDS
• Natalia Ilionsky, PHYSICIAN ASSISTANT
• Elizabeth Ilisha, SLP
• Elnara Ilishayev, BCBA
• Rakhamim Ilishayev
• Yasmine Afif Iliya, LCAT
• Nicolle Ilizarov
• Rahman Ilkhanizadeh, MD
• Luis Gabriel Illades, CASAC, LMSW
• Roilan Illas Rodriguez

• Pharmacist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.