Organization Active NPI

Direct Dna Consulting LLC

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Hollis, NY
National Provider Identifier
1831601574
Registry record updated Nov 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
048089 Issued in NY
Legal business name
DIRECT DNA CONSULTING LLC
Practice address
8022 192ND St
Hollis, NY 11423-1043
Phone
(917) 517-3950
Fax
(917) 517-3950
NPI assigned
Nov 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2017

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

Authorized official

Name
Diana Neryaev, RPHNPI 1598949141
Title
Pharmacist
Phone
(917) 517-3950

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 1835P0018X 048089 NY Primary

Addresses

Primary practice location

8022 192ND St
Hollis, NY 11423-1043

Mailing address

8022 192ND St
Hollis, NY 11423-1043

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509667200000",
    "number": "1831601574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8022 192ND ST",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114231043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8022 192ND ST",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114231043",
            "telephone_number": "917-517-3950",
            "fax_number": "917-517-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT DNA CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-03",
        "last_updated": "2017-11-03",
        "status": "A",
        "authorized_official_last_name": "NERYAEV",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "917-517-3950",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NY",
            "license": "048089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollis, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; 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.