Active NPI
Olga Zadorozhnyaya
- Pharmacist
- Scotts Valley, CA
National Provider Identifier
1659648236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 63654
- Practice address
- 210 Mount Hermon Rd
Scotts Valley, CA 95066-4009 - Phone
- (831) 430-9113
- NPI assigned
- Nov 25, 2011
- Last updated
- Nov 25, 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 | 63654 | CA | Primary |
Addresses
Primary practice location
210 Mount Hermon Rd
Scotts Valley, CA 95066-4009
Mailing address
210 Mount Hermon Rd
Scotts Valley, CA 95066-4009
Phone (831) 430-9113
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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": "1322179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322179200000",
"number": "1659648236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 MOUNT HERMON RD",
"city": "SCOTTS VALLEY",
"state": "CA",
"postal_code": "950664009",
"telephone_number": "831-430-9113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 MOUNT HERMON RD",
"city": "SCOTTS VALLEY",
"state": "CA",
"postal_code": "950664009",
"telephone_number": "831-430-9113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZADOROZHNYAYA",
"first_name": "OLGA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-25",
"last_updated": "2011-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "63654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scotts Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.