Individual provider Active NPI

Radmila Gracheva, PHARM D

  • Pharmacist
  • New York, NY
National Provider Identifier
1760652432
Registry record updated Feb 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
052046 Issued in NY
Practice address
611 Ave of the Americas
New York, NY 10011-2056
Phone
(212) 691-0952
NPI assigned
Mar 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 052046 NY Primary

Addresses

Primary practice location

611 Ave of the Americas
New York, NY 10011-2056

Mailing address

611 Ave of the Americas
New York, NY 10011-2056
Phone (212) 691-0952

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

LicenseStateTypeSpecialty
052046NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Duane Reade 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455494400000",
    "number": "1760652432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 AVE OF THE AMERICAS",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100112056",
            "telephone_number": "212-691-0952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 AVE OF THE AMERICAS",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100112056",
            "telephone_number": "212-691-0952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACHEVA",
        "first_name": "RADMILA",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-09",
        "last_updated": "2016-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "052046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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.