Teimuraz Balachvili

Primary specialty

PharmacistTaxonomy code 183500000X

License

052466 Issued in NY

Practice address

2577 Nostrand Ave
Brooklyn, NY 11210-4640

Phone

(718) 258-1912

NPI assigned

Jun 10, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• RX Plus Enterprises Inc

  • Community/Retail Pharmacy
  • Bronx, NY
  • NPI 1326750910
  NPD Authorized official
• T&N Pharmacy Inc

  • Pharmacy
  • Brooklyn, NY
  • NPI 1902136500
  NPD Authorized official

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213056000000",
    "number": "1760642102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2581 E 28TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2577 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104640",
            "telephone_number": "718-258-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALACHVILI",
        "first_name": "TEIMURAZ",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "052466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reetha Bakthula
• Ania Bakunova, M.S CCC-SLP TSSLD BE
• Darya Bakushyna, DR
• Chabiya Bala
• Sanjana Balachandra
• Maheshkumar Ghusabhai Baladaniya, PHYSICAL THERAPY
• Abhirami Balagangeyan
• Justin Eli Balaguer
• Aleksey Balagula, M.S.ED
• Asya Balagulova

• Pharmacist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.