Individual provider Active NPI

Jacklyn D Blinshteyn, DOCTORATE

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1598038663
Registry record updated Feb 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
056609 Issued in NY
Practice address
19 Amherst St
Brooklyn, NY 11235-4101
Phone
(917) 378-1380
NPI assigned
Feb 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 056609 NY Primary

Addresses

Primary practice location

19 Amherst St
Brooklyn, NY 11235-4101

Mailing address

19 Amherst St
Brooklyn, NY 11235-4101

Other identifiers 1

IdentifierTypeStateIssuer
2222222222222MedicaidNY

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
056609NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Gamer Pharmacy Inc Current Accepting new patients
Gamer Pharmacy Inc Current 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1329696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329696000000",
    "number": "1598038663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 AMHERST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 AMHERST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354101",
            "telephone_number": "917-378-1380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLINSHTEYN",
        "first_name": "JACKLYN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DOCTORATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-20",
        "last_updated": "2012-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "056609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2222222222222",
            "state": "NY"
        }
    ],
    "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 Feb 20, 2012; 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.