Active NPI
Igor Borukhov, RPH
- Pharmacist
- Elmhurst, NY
National Provider Identifier
1811172919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 047439
- Practice address
- 8102 Broadway
Elmhurst, NY 11373-2450 - Phone
- (718) 205-2282
- NPI assigned
- Jan 8, 2008
- Last updated
- Feb 26, 2009
- 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 | 047439 | NY | Primary |
Addresses
Primary practice location
8102 Broadway
Elmhurst, NY 11373-2450
Mailing address
8102 Broadway
Elmhurst, NY 11373-2450
Phone (718) 205-2282
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 |
|---|---|---|---|
| 047439 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elmhurst RX Inc | 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, 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": "1199750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235606400000",
"number": "1811172919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8102 BROADWAY",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113732450",
"telephone_number": "718-205-2282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8102 BROADWAY",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113732450",
"telephone_number": "718-205-2282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORUKHOV",
"first_name": "IGOR",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-08",
"last_updated": "2009-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "047439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.