Individual provider Active NPI

Vyacheslav Kheyman, PHARM.D.

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1619202835
Registry record updated Oct 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
052695 Issued in NY
Practice address
8501 4TH Ave
Brooklyn, NY 11209-4607
Phone
(718) 238-1402
NPI assigned
Oct 6, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 052695 NY Primary

Addresses

Primary practice location

8501 4TH Ave
Brooklyn, NY 11209-4607

Mailing address

8501 4TH Ave
Brooklyn, NY 11209-4607
Phone (718) 238-1402

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

LicenseStateTypeSpecialty
052695NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
A and V Pharmacy Inc Current Accepting new patients

Locations

8501 4th Ave
Brooklyn, NY 11209
Phone (718) 238-1402

Organizations & group practices 1

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": "1254787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254787200000",
    "number": "1619202835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094607",
            "telephone_number": "718-238-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094607",
            "telephone_number": "718-238-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHEYMAN",
        "first_name": "VYACHESLAV",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-06",
        "last_updated": "2009-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "052695",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 6, 2009; 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.