Active NPI
Rebecca Layliev, RPH
- Pharmacist
- Carle Place, NY
National Provider Identifier
1649511395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0578171
- Practice address
- 1 Old Country Rd Ste LL11
Carle Place, NY 11514-1806 - Phone
- (516) 287-2002
- NPI assigned
- Mar 5, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0578171 | NY | Primary |
| Pharmacist | 183500000X | 057817 | NY |
Addresses
Primary practice location
1 Old Country Rd Ste LL11
Carle Place, NY 11514-1806
Mailing address
1 Old Country Rd Ste LL11
Carle Place, NY 11514-1806
Phone (516) 287-2002
Other names 1
- Rebecca Shalomova
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 |
|---|---|---|---|
| 057817 | NY | MD | Pharmacist |
| 0578171 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Replenish Wellness Consulting LLC | Current | Accepting new patients |
Locations
1 Old Country Rd
Ste LL11
Carle Place, NY 11514
Phone (516) 287-2002
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Essential Apothecary
- Compounding Pharmacy
- Carle Place, NY
- NPI 1346951480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711584000000",
"number": "1649511395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 OLD COUNTRY RD STE LL11",
"city": "CARLE PLACE",
"state": "NY",
"postal_code": "115141806",
"telephone_number": "516-287-2002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 OLD COUNTRY RD STE LL11",
"city": "CARLE PLACE",
"state": "NY",
"postal_code": "115141806",
"telephone_number": "516-287-2002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAYLIEV",
"first_name": "REBECCA",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-05",
"last_updated": "2024-03-28",
"certification_date": "2024-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "0578171",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "NY",
"license": "057817",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "SHALOMOVA",
"credential": "RPH",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Carle Place, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.