NPIMap

Organization Active NPI

Opti Health, Corp.

  • Community/Retail Pharmacy
  • Rego Park, NY
National Provider Identifier
1861900383
Registry record updated Jan 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
035989 Issued in NY
Legal business name
OPTI HEALTH, CORP.
Practice address
9614 63Rd Dr Ste 100
Rego Park, NY 11374-2255
Phone
(718) 777-8111
Fax
(718) 228-3591
NPI assigned
Jan 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2018

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

Authorized official

Name
Grigoriy Yuabov, PHARM.D.NPI 1467887935
Title
President
Phone
(718) 777-8111

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 035989 NY Primary
Compounding Pharmacy 3336C0004X 035989 NY
Specialty Pharmacy 3336S0011X 035989 NY

Addresses

Primary practice location

9614 63Rd Dr Ste 100
Rego Park, NY 11374-2255

Mailing address

9614 63Rd Dr Ste 100
Rego Park, NY 11374-2255
Phone (718) 777-8111

National Provider Directory

National Provider Directory

Locations

9614 63rd Dr
Ste 100
Rego Park, NY 11374
Phone (718) 676-7232

Practitioners & affiliated clinicians

Practitioners 2

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": "1516233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516233600000",
    "number": "1861900383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9614 63RD DR STE 100",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742255",
            "telephone_number": "718-777-8111",
            "fax_number": "718-228-3591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9614 63RD DR STE 100",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742255",
            "telephone_number": "718-777-8111",
            "fax_number": "718-228-3591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTI HEALTH, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-18",
        "last_updated": "2018-01-18",
        "status": "A",
        "authorized_official_last_name": "YUABOV",
        "authorized_official_first_name": "GRIGORIY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-777-8111",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "035989",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NY",
            "license": "035989",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NY",
            "license": "035989",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.

Verify at the official NPI Registry.