Individual provider Active NPI

Orly Elinor Menasherov

  • Pharmacist
  • Forest Hills, NY
National Provider Identifier
1790424513
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
068706 Issued in NY
Practice address
10250 62ND Rd
Forest Hills, NY 11375-1056
Phone
(347) 596-6670
NPI assigned
May 31, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 068706 NY Primary

Addresses

Primary practice location

10250 62ND Rd
Forest Hills, NY 11375-1056

Mailing address

10250 62ND Rd
Forest Hills, NY 11375-1056
Phone (347) 596-6670

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL queens

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

State licenses

LicenseStateTypeSpecialty
068706NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1790424513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10250 62ND RD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751056",
            "telephone_number": "347-596-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10250 62ND RD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751056",
            "telephone_number": "347-596-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENASHEROV",
        "first_name": "ORLY",
        "middle_name": "ELINOR",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "068706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "queens",
            "affiliation": "N",
            "address_1": "10250 62nd Rd Apt 6N",
            "city": "Forest Hills",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113751016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 May 31, 2022; 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.