Individual provider Active NPI

Suzanna Aulova, PHARM D

  • Pharmacist
  • Far Rockaway, NY
National Provider Identifier
1821630864
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
066602 Issued in NY
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

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
78311CAMDPharmacist
066602NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
121 Central Pharmacy Corp PastSince Feb 1, 2021 Accepting new patients
Redfern Drugs Inc PastSince Nov 3, 2024 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.

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.

Verify at the official NPI Registry.