Individual provider Active NPI

Yuliya Shrayman

  • Pharmacist
  • Hackensack, NJ
National Provider Identifier
1558965814
Registry record updated Nov 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI02632700 Issued in NJ
Practice address
380 W Pleasantview Ave
Hackensack, NJ 07601-8005
Phone
(201) 342-0847
Fax
(844) 224-0650
NPI assigned
Nov 27, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI02632700 NJ Primary

Addresses

Primary practice location

380 W Pleasantview Ave
Hackensack, NJ 07601-8005

Mailing address

380 W Pleasantview Ave
Hackensack, NJ 07601-8005
Phone (201) 342-0847

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

LicenseStateTypeSpecialty
28RI02632700NJMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1606435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606435200000",
    "number": "1558965814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 W PLEASANTVIEW AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076018005",
            "telephone_number": "201-342-0847",
            "fax_number": "844-224-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 W PLEASANTVIEW AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076018005",
            "telephone_number": "201-342-0847",
            "fax_number": "844-224-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHRAYMAN",
        "first_name": "YULIYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-27",
        "last_updated": "2020-11-27",
        "certification_date": "2020-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02632700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.