Active NPI
Vera Bulakhova, PHARMD
- Oncology Pharmacist
- Pembroke Pines, FL
National Provider Identifier
1700695038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Pharmacist
- License
- PS69623
- Practice address
- 12235 Pines Blvd
Pembroke Pines, FL 33026-4119 - Phone
- (954) 265-4325
- NPI assigned
- Jan 2, 2025
- Last updated
- Oct 18, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 072288 | NY | |
| Oncology Pharmacist | 1835X0200X | PS69623 | FL | Primary |
Addresses
Primary practice location
12235 Pines Blvd
Pembroke Pines, FL 33026-4119
Mailing address
2094 Linden Blvd
Brooklyn, NY 11207-7412
Phone (212) 969-8372
Other practice location 1
2094 Linden Blvd
Brooklyn, NY 11207-7412
Phone (212) 518-1416
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 072288 | NY | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| PS69623 | FL | MD | Oncology Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760745600000",
"number": "1700695038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2094 LINDEN BLVD",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112077412",
"telephone_number": "212-969-8372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12235 PINES BLVD",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330264119",
"telephone_number": "954-265-4325"
}
],
"practiceLocations": [
{
"address_1": "2094 Linden Blvd",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112077412",
"country_code": "US",
"telephone_number": "212-518-1416",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BULAKHOVA",
"first_name": "VERA",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-02",
"last_updated": "2025-10-18",
"certification_date": "2025-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "NY",
"license": "072288",
"primary": false
},
{
"code": "1835X0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist, Oncology",
"state": "FL",
"license": "PS69623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.