Diana Neryaev, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

048089 Issued in NY

Practice address

8022 192ND St
House
Jamaica, NY 11423-1043

Phone

(917) 517-3950

NPI assigned

Dec 18, 2007

Last updated

Jun 1, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Direct Dna Consulting LLC

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Hollis, NY
  • NPI 1831601574
  NPD Authorized official
• Dna RX 101 Corp

  dba Diana's Pharmacy

  • Community/Retail Pharmacy
  • Glendale, NY
  • NPI 1659904605
  NPD Authorized official

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1598949141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8022 192ND ST",
            "address_2": "HOUSE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114231043",
            "telephone_number": "917-517-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8022 192ND ST",
            "address_2": "HOUSE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114231043",
            "telephone_number": "917-517-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NERYAEV",
        "first_name": "DIANA",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-18",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "048089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659904605",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "GLENDALE",
            "affiliation": "N",
            "endpointDescription": "pharmacy",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6505 Myrtle Ave",
            "city": "Glendale",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113856248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Khadeja Nelson
• Marshal Ian Nelson, LCSW
• Marva Nelson, RN
• Viola Nelson, PCA,HHA
• Ava Gabrielle Nemes, PA-C
• Keziah Nesbeth
• Jenna Nessa
• Columbus Nettles, PHARM.D.
• James Nevins, PA-C
• New Beginings Center of Hope

• Pharmacist in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.