Active NPI
Suzanna Aulova, PHARM D
- Pharmacist
- Far Rockaway, NY
National Provider Identifier
1821630864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 066602
- Practice address
- 1485 Beach Channel Dr
Far Rockaway, NY 11691-3800 - Phone
- (718) 471-3090
- NPI assigned
- Oct 10, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 78311 | CA | |
| Pharmacist | 183500000X | 066602 | NY | Primary |
Addresses
Primary practice location
1485 Beach Channel Dr
Far Rockaway, NY 11691-3800
Mailing address
1485 Beach Channel Dr
Far Rockaway, NY 11691-3800
Phone (184) 713-0907
Other practice location 1
3925 N River Rd
Oceanside, CA 92058-6914
Phone (760) 757-9348
Other practice location 2
121 Kent Ave
Brooklyn, NY 11249-2993
Phone (929) 397-0331
Other names 1
- Suzanna Aulova
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
| License | State | Type | Specialty |
|---|---|---|---|
| 78311 | CA | MD | Pharmacist |
| 066602 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 121 Central Pharmacy Corp | Past | Accepting new patients | |
| Redfern Drugs Inc | 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.
-
- Community/Retail Pharmacy
- Brooklyn, NY
- NPI 1609375930
-
- Community/Retail Pharmacy
- Far Rockaway, NY
- NPI 1801039409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730246400000",
"number": "1821630864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1485 BEACH CHANNEL DR",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116913800",
"telephone_number": "184-713-0907",
"fax_number": "718-327-8515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1485 BEACH CHANNEL DR",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116913800",
"telephone_number": "718-471-3090"
}
],
"practiceLocations": [
{
"address_1": "3925 N River Rd",
"address_purpose": "LOCATION",
"city": "Oceanside",
"state": "CA",
"postal_code": "920586914",
"country_code": "US",
"telephone_number": "760-757-9348",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "121 Kent Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112492993",
"country_code": "US",
"telephone_number": "929-397-0331",
"fax_number": "929-397-0332",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AULOVA",
"first_name": "SUZANNA",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-10",
"last_updated": "2024-10-30",
"certification_date": "2024-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "78311",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "066602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUZANNA",
"last_name": "AULOVA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Far Rockaway, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.