Individual provider Active NPI

Viktoriya Takhalova

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1689645251
Registry record updated Mar 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
047973 Issued in NY
Practice address
1403 Foster Ave
Brooklyn, NY 11230-1726
Phone
(718) 724-1333
Fax
(718) 724-2333
NPI assigned
Jan 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 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 047973 NY Primary

Addresses

Primary practice location

1403 Foster Ave
Brooklyn, NY 11230-1726

Mailing address

1403 Foster Ave
Brooklyn, NY 11230-1726
Phone (718) 724-1333

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

State licenses

LicenseStateTypeSpecialty
047973NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Vava Pharmacy 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.

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268784000000",
    "number": "1689645251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 FOSTER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112301726",
            "telephone_number": "718-724-1333",
            "fax_number": "718-724-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 FOSTER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112301726",
            "telephone_number": "718-724-1333",
            "fax_number": "718-724-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKHALOVA",
        "first_name": "VIKTORIYA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2010-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "047973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.