Active NPI
Yana Vorontsova, PHARMD
- Pharmacist
- Indianapolis, IN
National Provider Identifier
1578159794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26028965A
- Practice address
- 902 E Hanna Ave
Indianapolis, IN 46227-1306 - Phone
- (317) 780-1990
- NPI assigned
- Dec 13, 2020
- Sex
- Female
- 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 | 26028965A | IN | Primary |
Addresses
Primary practice location
902 E Hanna Ave
Indianapolis, IN 46227-1306
Mailing address
902 E Hanna Ave
Indianapolis, IN 46227-1306
Phone (317) 780-1990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26028965A | Other | IN | 183500000X-PHARMACIST- |
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26028965A | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
902 E Hanna Ave
Indianapolis, IN 46227
Phone (317) 780-1990
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": "1607817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607817600000",
"number": "1578159794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "902 E HANNA AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462271306",
"telephone_number": "317-780-1990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "902 E HANNA AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462271306",
"telephone_number": "317-780-1990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VORONTSOVA",
"first_name": "YANA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-13",
"last_updated": "2020-12-13",
"certification_date": "2020-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26028965A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "183500000X-PHARMACIST-",
"identifier": "26028965A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.