Active NPI
Albert Achildiyev
- Pharmacist
- Forest Hills, NY
National Provider Identifier
1740845098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 064988-1
- Practice address
- 6425 108TH St
Forest Hills, NY 11375-1603 - Phone
- (718) 897-2569
- NPI assigned
- May 2, 2019
- Last updated
- May 2, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 064988-1 | NY | Primary |
Addresses
Primary practice location
6425 108TH St
Forest Hills, NY 11375-1603
Mailing address
6425 108TH St
Forest Hills, NY 11375-1603
Phone (718) 897-2569
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | albertatliu@gmail.com | Health Information Exchange (HIE) |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 064988-1 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cort 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- Forest Hills, NY
- NPI 1255342812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556755200000",
"number": "1740845098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6425 108TH ST",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113751603",
"telephone_number": "718-897-2569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6425 108TH ST",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113751603",
"telephone_number": "718-897-2569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACHILDIYEV",
"first_name": "ALBERT",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-02",
"last_updated": "2019-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "064988-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "albertatliu@gmail.com",
"affiliation": "N",
"endpointDescription": "pharmacist",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "6425 108th St",
"city": "Forest Hills",
"state": "NY",
"country_code": "US",
"postal_code": "113751603",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.