Active NPI
Irina V Simkhovich, RPH
- Pharmacist
- Pine Bush, NY
National Provider Identifier
1609057280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 45480
- Practice address
- 2460 Ny-52
Pine Bush, NY 12566 - Phone
- (845) 744-8845
- Fax
- (845) 744-8848
- NPI assigned
- Nov 24, 2007
- 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 | 45480 | NY | Primary |
Addresses
Primary practice location
2460 Ny-52
Pine Bush, NY 12566
Mailing address
PO Box 1322
Pine Bush, NY 12566-1322
Phone (845) 744-8845
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00516409 | Medicaid | NY |
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 |
|---|---|---|---|
| 45480 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675209600000",
"number": "1609057280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1322",
"city": "PINE BUSH",
"state": "NY",
"postal_code": "125661322",
"telephone_number": "845-744-8845",
"fax_number": "845-744-8848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2460 NY-52",
"city": "PINE BUSH",
"state": "NY",
"postal_code": "12566",
"telephone_number": "845-744-8845",
"fax_number": "845-744-8848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMKHOVICH",
"first_name": "IRINA",
"middle_name": "V",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-24",
"last_updated": "2023-02-01",
"certification_date": "2023-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "45480",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00516409",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pine Bush, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.