Active NPI
Nataliya Khaykov, R.PH.
- Pharmacist
- Emerson, NJ
National Provider Identifier
1780902197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 049958-1
- Practice address
- 425 Old Hook Rd
Emerson, NJ 07630-1323 - Phone
- (201) 262-1722
- Fax
- (201) 262-4212
- NPI assigned
- May 10, 2010
- 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 | 049958-1 | NY | Primary |
Addresses
Primary practice location
425 Old Hook Rd
Emerson, NJ 07630-1323
Mailing address
15 Holmes LN
Wayne, NJ 07470-2814
Phone (973) 460-7532
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 049958-1 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inserra Supermarkets Inc | Past | Accepting new patients | |
| Inserra Supermarket Incorporated | 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
- Emerson, NJ
- NPI 1679688444
-
- Community/Retail Pharmacy
- Wallington, NJ
- NPI 1194830976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273449600000",
"number": "1780902197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 HOLMES LN",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074702814",
"telephone_number": "973-460-7532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 OLD HOOK RD",
"city": "EMERSON",
"state": "NJ",
"postal_code": "076301323",
"telephone_number": "201-262-1722",
"fax_number": "201-262-4212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAYKOV",
"first_name": "NATALIYA",
"name_prefix": "Ms.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-10",
"last_updated": "2010-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "049958-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Emerson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.