Mikhail Y Yerukhimovich, R. PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

048502 Issued in NY

Practice address

3355 14TH St Apt 3a
Astoria, NY 11106-4652

Phone

(718) 545-1937

NPI assigned

Mar 4, 2011

Last updated

Mar 4, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1299196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299196800000",
    "number": "1477851152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 14TH ST APT 3A",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111064652",
            "telephone_number": "718-545-1937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 14TH ST APT 3A",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111064652",
            "telephone_number": "718-545-1937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YERUKHIMOVICH",
        "first_name": "MIKHAIL",
        "middle_name": "Y",
        "credential": "R. PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-04",
        "last_updated": "2011-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "048502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; 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.