Mariya Kotova, PHARMD

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

PS59438 Issued in FL

Practice address

655 W 8TH St
Jacksonville, FL 32209-6511

Phone

(415) 335-1123

NPI assigned

Sep 25, 2019

Sex

Female

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

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1699326223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 RIVERSIDE AVE UNIT 531",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322024959",
            "telephone_number": "415-335-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 W 8TH ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322096511",
            "telephone_number": "415-335-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTOVA",
        "first_name": "MARIYA",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-25",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "FL",
            "license": "PS59438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Kossakowski
• Semaan Georges Kosseifi, M.D.
• Carissa J Kostecki, MD
• David A Kostick, MD
• Alexandra M Kostur, M.D.
• Allison Winfrey Kotowski, LCSW
• Kathryn B. Kott, APRN
• Ravindranath Kottoor, MD
• Jason Kotula, P.A.
• Pulin Behari Koul, M.D.

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.