Ilomani Yadgarov, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI03255500 Issued in NJ

Practice address

312 Glenwood Avenue
Bloomfield, NJ 07003-5712

Phone

(973) 743-3300

Fax

(973) 743-3303

NPI assigned

Sep 16, 2010

Last updated

Aug 10, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Glenwood Pharmacy LLC

  dba Pharm-D Rx Pharmacy

  • Community/Retail Pharmacy
  • Bloomfield, NJ
  • NPI 1689113821
  NPD Authorized official

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1699083394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 GLENWOOD AVENUE",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070035712",
            "telephone_number": "973-743-3300",
            "fax_number": "973-743-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 GLENWOOD AVENUE",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070035712",
            "telephone_number": "973-743-3300",
            "fax_number": "973-743-3303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "312 Glenwood Avenue",
            "address_purpose": "LOCATION",
            "city": "Bloomfield",
            "state": "NJ",
            "postal_code": "070035712",
            "country_code": "US",
            "telephone_number": "973-743-3300",
            "fax_number": "973-743-3303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YADGAROV",
        "first_name": "ILOMANI",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-16",
        "last_updated": "2022-08-10",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03255500",
            "primary": true
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "NJ",
            "license": "28RI03255500",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06581085",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.