Individual provider Active NPI

Pavel Shinder, RPH

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1750604112
Registry record updated Mar 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
044085 Issued in NY
Practice address
422 Church Ave
Brooklyn, NY 11218-3108
Phone
(718) 686-2727
Fax
(718) 532-0855
NPI assigned
Mar 12, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 044085 NY Primary

Addresses

Primary practice location

422 Church Ave
Brooklyn, NY 11218-3108

Mailing address

422 Church Ave
Brooklyn, NY 11218-3108
Phone (718) 686-2727

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

OrganizationSpecialtyStatusNew patients
City Drugs Inc Current Accepting new patients

Locations

422 Church Ave
Brooklyn, NY 11218
Phone (718) 686-2727

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1268352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268352000000",
    "number": "1750604112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112183108",
            "telephone_number": "718-686-2727",
            "fax_number": "718-532-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112183108",
            "telephone_number": "718-686-2727",
            "fax_number": "718-532-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINDER",
        "first_name": "PAVEL",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-12",
        "last_updated": "2010-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "044085",
            "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 Mar 12, 2010; 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.