Vladimir Yurukov

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

82202 Issued in CA

Practice address

1967 Redington Ave
Clovis, CA 93619-8913

Phone

(773) 494-1020

NPI assigned

Sep 11, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1631318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631318400000",
    "number": "1851060974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1967 REDINGTON AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936198913",
            "telephone_number": "773-494-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1967 REDINGTON AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936198913",
            "telephone_number": "773-494-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YURUKOV",
        "first_name": "VLADIMIR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-11",
        "last_updated": "2021-09-11",
        "certification_date": "2021-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CA",
            "license": "82202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "82202",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "SOAP",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1967 Redington Ave",
            "city": "Clovis",
            "state": "CA",
            "country_code": "US",
            "postal_code": "936198913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Reid Yoshimura, PHARMD
• Taylor Christine Yost, MA CCC-SLP
• Andrew William Young
• Lauren M. Yparrea
• Rey Quijano Yuliongsiu, D.D.S.
• Marybeth Yuskavage, MD
• Nancy Gina Zanicchi-Bobb, M.A. COUNSELING PSYC
• Olivia Zantoz
• Michelle R a Zapata, FNP-BC
• Margaret Louise Zaun, FNP-C

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Clovis, CA
• Providers in Clovis, CA by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2021; 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.