Active NPI
Maximilian Litovsky
- Pharmacist
- Glendale, NY
National Provider Identifier
1538397377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051905
- Practice address
- 6505 Myrtle Ave
Glendale, NY 11385-6248 - Phone
- (718) 381-5100
- NPI assigned
- Jul 1, 2009
- Last updated
- Oct 25, 2013
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051905 | NY | Primary |
Addresses
Primary practice location
6505 Myrtle Ave
Glendale, NY 11385-6248
Mailing address
6505 Myrtle Ave
Glendale, NY 11385-6248
Phone (718) 381-5100
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
| License | State | Type | Specialty |
|---|---|---|---|
| 051905 | NY | MD | Prosthodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dna RX 101 Corp | Past | Accepting new patients | |
| Top Choice Pharmacy Corp | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- Rego Park, NY
- NPI 1790077568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382659200000",
"number": "1538397377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6505 MYRTLE AVE",
"city": "GLENDALE",
"state": "NY",
"postal_code": "113856248",
"telephone_number": "718-381-5100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6505 MYRTLE AVE",
"city": "GLENDALE",
"state": "NY",
"postal_code": "113856248",
"telephone_number": "718-381-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LITOVSKY",
"first_name": "MAXIMILIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-01",
"last_updated": "2013-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "051905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.