Individual provider Active NPI

Dmitriy Sulik

  • Pharmacist
  • Pittsburgh, PA
National Provider Identifier
1457723090
Registry record updated Oct 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
060806 Issued in NY
Practice address
201 S Hills VLG
Pittsburgh, PA 15241-1408
Phone
(412) 595-9381
NPI assigned
Oct 22, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 060806 NY Primary

Addresses

Primary practice location

201 S Hills VLG
Pittsburgh, PA 15241-1408

Mailing address

2915 Sidney St
Apt 318
Pittsbrugh, PA 15203
Phone (585) 360-5683

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

LicenseStateTypeSpecialty
060806NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445472000000",
    "number": "1457723090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 SIDNEY ST",
            "address_2": "APT 318",
            "city": "PITTSBRUGH",
            "state": "PA",
            "postal_code": "15203",
            "telephone_number": "585-360-5683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S HILLS VLG",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152411408",
            "telephone_number": "412-595-9381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULIK",
        "first_name": "DMITRIY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-22",
        "last_updated": "2015-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "060806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; 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.