Zalman Koyenov

Primary specialty

PharmacistTaxonomy code 183500000X

License

047459 Issued in NY

Practice address

13742 Guy R Brewer Blvd
Jamaica, NY 11434-3732

Phone

(718) 978-0001

Fax

(718) 978-0003

NPI assigned

Sep 23, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• GBB Wellness Incorporated

  dba GBB Wellness Inc.

  • Pharmacy
  • Jamaica, NY
  • NPI 1154696466
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648252800000",
    "number": "1679856884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13742 GUY R BREWER BLVD STE 6",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114343733",
            "telephone_number": "718-978-0001",
            "fax_number": "718-978-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13742 GUY R BREWER BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114343732",
            "telephone_number": "718-978-0001",
            "fax_number": "718-978-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOYENOV",
        "first_name": "ZALMAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-23",
        "last_updated": "2022-03-26",
        "certification_date": "2022-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "047459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "047459",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sudharani Subba Kotha, MD
• Aakansh Mukesh Kothari
• Neetu Koul
• Olivia Hanna Koury, MD, MSC.
• Colin Kowlessar, LMHC,CASAC
• Jennifer Kramer, LMHC
• Yitzchok Kramer
• Brian Krasnick
• Elonna Kravets, FNP
• Kris Agecny & Home Care Inc

• Pharmacist in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2022; 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.