Individual provider Active NPI

Eva I Mlynaryk, RPH

  • Pharmacist
  • New York, NY
National Provider Identifier
1497077556
Registry record updated Feb 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
038161-1 Issued in NY
Practice address
205 E 63Rd St
Apt 10D
New York, NY 10065-7425
Phone
(212) 319-3104
NPI assigned
Feb 17, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 038161-1 NY Primary

Addresses

Primary practice location

205 E 63Rd St
Apt 10D
New York, NY 10065-7425

Mailing address

205 E 63Rd St # at
Apt 10D
New York, NY 10065-7425

Other names 1

  • Eva I Jaremczuk Former name

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
038161-1NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266364800000",
    "number": "1497077556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E 63RD ST # AT",
            "address_2": "APT 10D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E 63RD ST",
            "address_2": "APT 10D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657425",
            "telephone_number": "212-319-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MLYNARYK",
        "first_name": "EVA",
        "middle_name": "I",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-17",
        "last_updated": "2010-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "038161-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVA",
            "last_name": "JAREMCZUK",
            "middle_name": "I",
            "credential": "RPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; 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.