Elizabeth Liza Mardakhaev

Primary specialty

PharmacistTaxonomy code 183500000X

License

064756 Issued in NY

Practice address

531 E 7TH St
Brooklyn, NY 11218-4801

Phone

(718) 921-8777

NPI assigned

Oct 1, 2018

Last updated

Oct 1, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Silver Star Pharmacy Inc

  dba Michael's Pharmacy

  • Community/Retail Pharmacy
  • Brooklyn, NY
  • NPI 1134521487
  NPD (past)

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1871078345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 W 5TH ST APT 13G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112244126",
            "telephone_number": "646-318-0862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 E 7TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112184801",
            "telephone_number": "718-921-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARDAKHAEV",
        "first_name": "ELIZABETH",
        "middle_name": "LIZA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-01",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "064756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcy Pharmacy Inc.
• Izabela Justyna Marczak, MD
• Dali Chakhvashvili Mardach, M.D.
• Sevinj Mardak
• Simon Mardakh, MD
• Elizabeth Mardakhayeva
• Maya Mardechayev, OTR/L
• Jonathan Marder
• Sara Marder
• Zoya Marder

• Pharmacist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.