Reuven Polvanov

Primary specialty

PharmacistTaxonomy code 183500000X

License

071949 Issued in NY

Practice address

10823 Jamaica Ave
Richmond Hill, NY 11418-2243

Phone

(718) 954-9601

Fax

(718) 954-9603

NPI assigned

Sep 18, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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 and National Provider Directory roles.

• Direct RX Pharmacy Inc

  • Pharmacy
  • Richmond Hill, NY
  • NPI 1144580705
  NPD
• Richmond Hill Chemists RX LLC

  • Community/Retail Pharmacy
  • Richmond Hill, NY
  • NPI 1619738143
  NPD

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1619704111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10823 JAMAICA AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114182243",
            "telephone_number": "718-954-9601",
            "fax_number": "718-954-9603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10823 JAMAICA AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114182243",
            "telephone_number": "718-954-9601",
            "fax_number": "718-954-9603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10205 Jamaica Ave",
            "address_purpose": "LOCATION",
            "city": "Richmond Hill",
            "state": "NY",
            "postal_code": "114182006",
            "country_code": "US",
            "telephone_number": "718-441-4693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLVANOV",
        "first_name": "REUVEN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-18",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "071949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Physical Therapy Rehabilitation New York City, P.C.
• Christaline Pierre
• Jessica Pierre
• Irina Pinsky, D.D.S.
• Ruby Jane Bugia Policarpio
• Marie Jessie Polycarpe, RN
• Vikram Pooni, MD
• Yasna Pouralborz, MD
• Lina Pourmehr, MD
• Ushus Pradeep

• Pharmacist in Richmond Hill, NY
• Providers in Richmond Hill, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; 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.