Active NPI
Syuleyman Bektashev, PHARMD
- Pharmacist
- Louisville, KY
National Provider Identifier
1912628421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 023020
- Practice address
- 500 W Main St
Louisville, KY 40202-2946 - Phone
- (570) 977-1903
- NPI assigned
- Sep 5, 2022
- Last updated
- Sep 5, 2022
- Sex
- Male
- Sole proprietor
- No
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 | 023020 | KY | Primary |
Addresses
Primary practice location
500 W Main St
Louisville, KY 40202-2946
Mailing address
1172 E Broadway Unit 450
Louisville, KY 40204-1892
Phone (570) 977-1903
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 |
|---|---|---|---|
| 023020 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662336000000",
"number": "1912628421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1172 E BROADWAY UNIT 450",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402041892",
"telephone_number": "570-977-1903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W MAIN ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402022946",
"telephone_number": "570-977-1903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEKTASHEV",
"first_name": "SYULEYMAN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-05",
"last_updated": "2022-09-05",
"certification_date": "2022-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "023020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.