Individual provider Active NPI

Irina Sagun, RPH

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1518475409
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
065016 Issued in NY
Practice address
4508 13TH Ave
Brooklyn, NY 11219-2018
Phone
(718) 686-9999
Fax
(718) 686-9998
NPI assigned
Jan 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI03888600 NJ
Pharmacist 183500000X 065016 NY Primary

Addresses

Primary practice location

4508 13TH Ave
Brooklyn, NY 11219-2018

Mailing address

1151 Brighton Beach Ave Apt 2B
Brooklyn, NY 11235-5904
Phone (917) 386-8663

Other practice location 1

2801 John F Kennedy Blvd
Jersey City, NJ 07306-5449
Phone (201) 222-6655

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
28RI03888600NJMDPharmacist
065016NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Moishe's Pharmacy Corp CurrentSince Sep 3, 2025 Accepting new patients
Good Time Pharmacy LLC Past Accepting new patients

Locations

4508 13th Ave
Brooklyn, NY 11219
Phone (718) 686-9999

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.

NPI Registry JSON

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

{
    "created_epoch": "1515801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1518475409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 BRIGHTON BEACH AVE APT 2B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355904",
            "telephone_number": "917-386-8663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4508 13TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192018",
            "telephone_number": "718-686-9999",
            "fax_number": "718-686-9998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2801 John F Kennedy Blvd",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073065449",
            "country_code": "US",
            "telephone_number": "201-222-6655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAGUN",
        "first_name": "IRINA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-13",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03888600",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "065016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; 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.