Individual provider Active NPI

William Yankovich

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1902150097
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
057317 Issued in NY
Practice address
1811 Quentin Rd Apt 4C
Brooklyn, NY 11229-1324
Phone
(917) 916-8757
NPI assigned
Oct 29, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 057317 NY Primary

Addresses

Primary practice location

1811 Quentin Rd Apt 4C
Brooklyn, NY 11229-1324

Mailing address

2805 Ocean Pkwy Apt 5B
Brooklyn, NY 11235-7863
Phone (917) 916-8757

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

State licenses

LicenseStateTypeSpecialty
057317NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Jersey Chemists Inc Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1902150097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 OCEAN PKWY APT 5B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357863",
            "telephone_number": "917-916-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 QUENTIN RD APT 4C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291324",
            "telephone_number": "917-916-8757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANKOVICH",
        "first_name": "WILLIAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-29",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "057317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.