Active NPI
Olga Davydova, RPH
- Pharmacist
- Rego Park, NY
National Provider Identifier
1750565321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 046446
- Practice address
- 9511 63Rd Dr
Rego Park, NY 11374-2024 - Phone
- (718) 897-0803
- Fax
- (718) 897-0804
- NPI assigned
- Dec 19, 2007
- Sex
- Female
- 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 | 046446 | NY | Primary |
Addresses
Primary practice location
9511 63Rd Dr
Rego Park, NY 11374-2024
Mailing address
6411 99TH St Apt 311
Rego Park, NY 11374-2639
Phone (718) 897-0803
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02850439 | Medicaid | NY |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duane Reade | Past | Accepting new patients | |
| Duane Reade | Past | Accepting new patients |
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.
-
- Pharmacy
- Rego Park, NY
- NPI 1295750768
-
- Pharmacy
- New York, NY
- NPI 1548914351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198108800000",
"number": "1750565321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6411 99TH ST APT 311",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113742639",
"telephone_number": "718-897-0803",
"fax_number": "718-897-0804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9511 63RD DR",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113742024",
"telephone_number": "718-897-0803",
"fax_number": "718-897-0804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVYDOVA",
"first_name": "OLGA",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-19",
"last_updated": "2007-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "046446",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02850439",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rego Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.