Active NPI
Marc A Skopov, R.PH
- Pharmacist
- New York, NY
National Provider Identifier
1659438570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 025088
- Practice address
- 53 East 122ND Street
New York, NY 10035-2805 - Phone
- (212) 369-5555
- Fax
- (212) 348-7891
- NPI assigned
- Jan 2, 2007
- Sex
- Male
- 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 | 025088 | NY | Primary |
Addresses
Primary practice location
53 East 122ND Street
New York, NY 10035-2805
Mailing address
280 Trenton Place
Orangeburg, NY 10962
Phone (845) 359-7420
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 |
|---|---|---|---|
| 025088 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659438570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 TRENTON PLACE",
"city": "ORANGEBURG",
"state": "NY",
"postal_code": "10962",
"telephone_number": "845-359-7420",
"fax_number": "845-359-6718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 EAST 122ND STREET",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100352805",
"telephone_number": "212-369-5555",
"fax_number": "212-348-7891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKOPOV",
"first_name": "MARC",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "R.PH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "025088",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.