Individual provider Active NPI

Izabella Binaminova I

  • Pharmacist
  • Rego Park, NY
National Provider Identifier
1649300229
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
046563 Issued in NY
Practice address
9727 Queens Blvd
Rego Park, NY 11374-2103
Phone
(718) 897-8500
Fax
(718) 897-5499
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 046563 NY Primary

Addresses

Primary practice location

9727 Queens Blvd
Rego Park, NY 11374-2103

Mailing address

9727 Queens Blvd
Rego Park, NY 11374-2103
Phone (718) 897-8500

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
046563NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Med RX Pharmacy, Inc Current Accepting new patients

Locations

9727 Queens Blvd
Rego Park, NY 11374
Phone (718) 897-8500

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": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217203200000",
    "number": "1649300229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9727 QUEENS BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742103",
            "telephone_number": "718-897-8500",
            "fax_number": "718-897-5499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9727 QUEENS BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742103",
            "telephone_number": "718-897-8500",
            "fax_number": "718-897-5499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINAMINOVA",
        "first_name": "IZABELLA",
        "name_prefix": "Ms.",
        "name_suffix": "I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2008-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "046563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.