Individual provider Active NPI

Vladyslav Sernetskyy, RPH

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1710865365
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
073060 Issued in NY
Practice address
3735 Nostrand Ave
Brooklyn, NY 11235-1907
Phone
(718) 368-9800
Fax
(718) 368-9700
NPI assigned
Aug 22, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 073060 NY Primary

Addresses

Primary practice location

3735 Nostrand Ave
Brooklyn, NY 11235-1907

Mailing address

32 Henry PL
Staten Island, NY 10305-1319
Phone (917) 754-2776

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
073060NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Kisi Corp CurrentSince Aug 25, 2025 Accepting new patients
Kisi Corp PastSince Aug 25, 2025 Accepting new patients

Locations

3735 Nostrand Ave
Brooklyn, NY 11235
Phone (718) 368-9800

Organizations & group practices 2

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": "1755820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1710865365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 HENRY PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103051319",
            "telephone_number": "917-754-2776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3735 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351907",
            "telephone_number": "718-368-9800",
            "fax_number": "718-368-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERNETSKYY",
        "first_name": "VLADYSLAV",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-22",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "073060",
            "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 Aug 22, 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.

Verify at the official NPI Registry.