Andrey Pakholskiy, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI03908900 Issued in NJ

Practice address

515 Inman Avenue
Colonia, NJ 07067

Phone

(732) 381-3400

Fax

(732) 381-3464

NPI assigned

Apr 28, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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.

• Colonia Natural Pharmacy, Inc.

  • Pharmacist
  • Colonia, NJ
  • NPI 1306863188
  NPD

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589587200000",
    "number": "1689295974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 INMAN AVENUE",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "07067",
            "telephone_number": "732-381-3400",
            "fax_number": "732-381-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 INMAN AVENUE",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "07067",
            "telephone_number": "732-381-3400",
            "fax_number": "732-381-3464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAKHOLSKIY",
        "first_name": "ANDREY",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-28",
        "last_updated": "2020-05-16",
        "certification_date": "2020-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03908900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie Nolan, PHD,LCADC
• Kara A O'Halloran
• Chiamaka E Okoroji
• Amanda Janette Ortiz, BCBA
• Outlast Performance LLC
• Nalin Panchal, DDS
• Tina N Panchal, D.M.D.
• Priti Parmar
• Alpit R Patel, DPT
• Dhaval A Patel, PA-C

• Pharmacist in Colonia, NJ
• Providers in Colonia, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2020; 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.