Individual provider Active NPI

Olga Nasonova, RPH

  • Pharmacist
  • North Baldwin, NY
National Provider Identifier
1679896880
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
046361 Issued in NY
Practice address
1829 Grand Ave
CVS/Pharmacy
North Baldwin, NY 11510-2453
Phone
(516) 378-7645
NPI assigned
Mar 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 046361 NY Primary

Addresses

Primary practice location

1829 Grand Ave
CVS/Pharmacy
North Baldwin, NY 11510-2453

Mailing address

70 Union Ave
Apt 3
Lynbrook, NY 11563-3354
Phone (516) 802-2347

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

LicenseStateTypeSpecialty
046361NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267574400000",
    "number": "1679896880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 UNION AVE",
            "address_2": "APT 3",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115633354",
            "telephone_number": "516-802-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1829 GRAND AVE",
            "address_2": "CVS/PHARMACY",
            "city": "NORTH BALDWIN",
            "state": "NY",
            "postal_code": "115102453",
            "telephone_number": "516-378-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASONOVA",
        "first_name": "OLGA",
        "name_prefix": "Miss",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-03",
        "last_updated": "2010-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "046361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Baldwin, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; 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.