Active NPI
Marina Shamalov, PHARM.D.
- Pharmacist
- South Ozone Park, NY
National Provider Identifier
1679746952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 050873
- Practice address
- 13214 Rockaway Blvd
South Ozone Park, NY 11420-2915 - Phone
- (347) 480-5103
- Fax
- (718) 549-1422
- NPI assigned
- Apr 8, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 050873 | NY | Primary |
Addresses
Primary practice location
13214 Rockaway Blvd
South Ozone Park, NY 11420-2915
Mailing address
13214 Rockaway Blvd
South Ozone Park, NY 11420-2915
Phone (347) 480-5103
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 050873 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid Drug Palace Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Brooklyn, NY
- NPI 1093826158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701734400000",
"number": "1679746952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13214 ROCKAWAY BLVD",
"city": "SOUTH OZONE PARK",
"state": "NY",
"postal_code": "114202915",
"telephone_number": "347-480-5103",
"fax_number": "718-549-1422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13214 ROCKAWAY BLVD",
"city": "SOUTH OZONE PARK",
"state": "NY",
"postal_code": "114202915",
"telephone_number": "347-480-5103",
"fax_number": "718-549-1422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAMALOV",
"first_name": "MARINA",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-08",
"last_updated": "2023-12-05",
"certification_date": "2023-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "050873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Ozone Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.