Active NPI
Shamuel Borukhov, PHARMD
- Pharmacist
- Forest Hills, NY
National Provider Identifier
1760023667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 064620
- Practice address
- 6451 108TH St
Forest Hills, NY 11375-1612 - Phone
- (516) 304-5038
- NPI assigned
- Oct 1, 2019
- Last updated
- Jun 16, 2026
- 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 | 064620 | NY | Primary |
Addresses
Primary practice location
6451 108TH St
Forest Hills, NY 11375-1612
Mailing address
6145 98TH St Apt 7H
Rego Park, NY 11374-1429
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 |
|---|---|---|---|
| 064620 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Scripts Corp | Current | Accepting new patients |
Locations
6451 108th St
Forest Hills, NY 11375
Phone (516) 304-5038
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781568000000",
"number": "1760023667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6145 98TH ST APT 7H",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113741429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6451 108TH ST",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113751612",
"telephone_number": "516-304-5038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORUKHOV",
"first_name": "SHAMUEL",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-01",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "064620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.