Individual provider Active NPI

Rebecca Layliev, RPH

  • Pharmacist
  • Carle Place, NY
National Provider Identifier
1649511395
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0578171 Issued in NY
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

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0578171 NY Primary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Other name

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

LicenseStateTypeSpecialty
057817NYMDPharmacist
0578171NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Replenish Wellness Consulting LLC CurrentSince Jul 21, 2024 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.

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.

Verify at the official NPI Registry.