Individual provider Active NPI

Magdalina Yakubova

  • Pharmacist
  • Bronx, NY
National Provider Identifier
1457861858
Registry record updated Oct 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
063581 Issued in NY
Practice address
3721 Riverdale Ave
Bronx, NY 10463-1807
Phone
(718) 549-6709
NPI assigned
Oct 11, 2017
Last updated
Oct 11, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 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 063581 NY Primary

Addresses

Primary practice location

3721 Riverdale Ave
Bronx, NY 10463-1807

Mailing address

14411 73Rd Ave
Flushing, NY 11367-2412
Phone (718) 908-8004

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
063581NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
River Chemists Corp. PastSince Mar 16, 2020 Accepting new patients

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": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507680000000",
    "number": "1457861858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14411 73RD AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113672412",
            "telephone_number": "718-908-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3721 RIVERDALE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631807",
            "telephone_number": "718-549-6709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAKUBOVA",
        "first_name": "MAGDALINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-11",
        "last_updated": "2017-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "063581",
            "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 Oct 11, 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.