Active NPI
Aleksandr Zavorotynskiy, RPH
- Pharmacist
- Bronx, NY
National Provider Identifier
1568076743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 066791
- Practice address
- 3415 Bainbridge Ave
Bronx, NY 10467-2403 - Phone
- (718) 584-5160
- NPI assigned
- Sep 3, 2020
- 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 | 066791 | NY | Primary |
Addresses
Primary practice location
3415 Bainbridge Ave
Bronx, NY 10467-2403
Mailing address
8835 241St St
Bellerose, NY 11426-1238
Phone (917) 601-5550
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
| License | State | Type | Specialty |
|---|---|---|---|
| 066791 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599091200000",
"number": "1568076743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8835 241ST ST",
"city": "BELLEROSE",
"state": "NY",
"postal_code": "114261238",
"telephone_number": "917-601-5550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3415 BAINBRIDGE AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104672403",
"telephone_number": "718-584-5160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAVOROTYNSKIY",
"first_name": "ALEKSANDR",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-03",
"last_updated": "2020-09-03",
"certification_date": "2020-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "066791",
"primary": true
}
],
"identifiers": [],
"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 Sep 3, 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.