Active NPI
Eden Kasaev, PHARMD
- Pharmacist
- Bronx, NY
National Provider Identifier
1851805725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 061472
- Practice address
- 4166 White Plains Rd
Bronx, NY 10466-3020 - Phone
- (718) 881-5800
- Fax
- (718) 881-5803
- NPI assigned
- Nov 29, 2017
- Last updated
- Apr 9, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 | 061472 | NY | Primary |
Addresses
Primary practice location
4166 White Plains Rd
Bronx, NY 10466-3020
Mailing address
8054 Kent St
Jamaica, NY 11432-1545
Phone (347) 681-5191
Other practice location 1
1106 Avenue K Fl 1
Brooklyn, NY 11230-4145
Phone (718) 253-4900
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 |
|---|---|---|---|
| 061472 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shalom's Diabetes Health and Wellness Center | Past | Accepting new patients | |
| Shaloms Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1992207823
-
- Community/Retail Pharmacy
- Brooklyn, NY
- NPI 1275888463
-
- Community/Retail Pharmacy
- Brooklyn, NY
- NPI 1841509296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523232000000",
"number": "1851805725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8054 KENT ST",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114321545",
"telephone_number": "347-681-5191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4166 WHITE PLAINS RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104663020",
"telephone_number": "718-881-5800",
"fax_number": "718-881-5803"
}
],
"practiceLocations": [
{
"address_1": "1106 Avenue K Fl 1",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112304145",
"country_code": "US",
"telephone_number": "718-253-4900",
"fax_number": "718-253-4900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KASAEV",
"first_name": "EDEN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-11-29",
"last_updated": "2018-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "NY",
"license": "061472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.