Active NPI
Mailka Ibragimova, RPH
- Pharmacist
- New York, NY
National Provider Identifier
1649562935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 054824
- Practice address
- 600 W 168TH St
New York, NY 10032-3702 - Phone
- (917) 318-6708
- NPI assigned
- May 5, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 054824 | NY | Primary |
Addresses
Primary practice location
600 W 168TH St
New York, NY 10032-3702
Mailing address
6420 Saunders St
Apt # C 19
Rego Park, NY 11374
Phone (917) 318-6708
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 054824 | Other | NY | STATE |
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 |
|---|---|---|---|
| 054824 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304553600000",
"number": "1649562935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6420 SAUNDERS ST",
"address_2": "APT # C 19",
"city": "REGO PARK",
"state": "NY",
"postal_code": "11374",
"telephone_number": "917-318-6708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 W 168TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323702",
"telephone_number": "917-318-6708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IBRAGIMOVA",
"first_name": "MAILKA",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-05",
"last_updated": "2011-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "054824",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE",
"identifier": "054824",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.