Active NPI
Narik Nektalov
- Pharmacy Technician
- Bronx, NY
National Provider Identifier
1487119657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- Practice address
- 1398 Grand Concourse
Bronx, NY 10456-1220 - Phone
- (718) 588-3333
- Fax
- (718) 588-3334
- NPI assigned
- Feb 1, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | Primary |
Addresses
Primary practice location
1398 Grand Concourse
Bronx, NY 10456-1220
Mailing address
1398 Grand Concourse
Bronx, NY 10456-1220
Phone (718) 588-3333
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 035106 | Other | STATE LICENCE | |
| 04770816 | Medicaid | NY |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Drugs Inc | Past | Accepting new patients | |
| 3 Gem Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Bronx, NY
- NPI 1730644915
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1952845513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548979200000",
"number": "1487119657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1398 GRAND CONCOURSE",
"city": "BRONX",
"state": "NY",
"postal_code": "104561220",
"telephone_number": "718-588-3333",
"fax_number": "718-588-3334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1398 GRAND CONCOURSE",
"city": "BRONX",
"state": "NY",
"postal_code": "104561220",
"telephone_number": "718-588-3333",
"fax_number": "718-588-3334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEKTALOV",
"first_name": "NARIK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-01",
"last_updated": "2019-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENCE",
"identifier": "035106",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04770816",
"state": "NY"
}
],
"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 Feb 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.