Yaffa Yusupov, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

059742 Issued in NY

Practice address

9708 Metropolitan Ave
Forest Hills, NY 11375-6626

Phone

(646) 535-5915

Fax

(718) 744-9702

NPI assigned

Oct 20, 2014

Sex

Female

Sole proprietor

No

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

Credentials

Doctor of Pharmacy

Practice roles

Locations

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.

• Metro Scripts LLC

  • Community/Retail Pharmacy
  • Forest Hills, NY
  • NPI 1720660103
  NPD Authorized official
• CVS Albany LLC

  • Pharmacy
  • East Northport, NY
  • NPI 1942303771
  NPD (past)
• CVS Albany LLC

  • Pharmacy
  • Brooklyn, RI
  • NPI 1679459481
  NPD (past)

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619308800000",
    "number": "1912301862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9708 METROPOLITAN AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756626",
            "telephone_number": "646-535-5915",
            "fax_number": "718-744-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9708 METROPOLITAN AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756626",
            "telephone_number": "646-535-5915",
            "fax_number": "718-744-9702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 Larkfield Rd",
            "address_purpose": "LOCATION",
            "city": "East Northport",
            "state": "NY",
            "postal_code": "117314202",
            "country_code": "US",
            "telephone_number": "631-368-4433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YUSUPOV",
        "first_name": "YAFFA",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-20",
        "last_updated": "2021-04-25",
        "certification_date": "2021-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "059742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marina Yusupov, PA-C
• Michelle Yusupov
• Pinkhoz Yusupov, OPTICIAN
• Sara Yusupov
• Stephany Yusupov, OTR/L
• Zulaiho Yusupov, MS
• Ksenya Yusupova, MS SPEECH PATHOLOGY
• Laura Yusupova, LMSW
• Margarita Yusupova
• Magdalena Zabiega

• Pharmacist in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.