Individual provider Active NPI

Alla Nyurenberg, RPH

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1932357167
Registry record updated Aug 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
044347 Issued in NY
Practice address
2511 Avenue U
Brooklyn, NY 11229-4934
Phone
(718) 891-7900
Fax
(718) 891-5310
NPI assigned
Aug 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 044347 NY Primary

Addresses

Primary practice location

2511 Avenue U
Brooklyn, NY 11229-4934

Mailing address

2511 Avenue U
Brooklyn, NY 11229-4934
Phone (718) 891-7900

Other identifiers 1

IdentifierTypeStateIssuer
02510754MedicaidNY

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
044347NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219968000000",
    "number": "1932357167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294934",
            "telephone_number": "718-891-7900",
            "fax_number": "718-891-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294934",
            "telephone_number": "718-891-7900",
            "fax_number": "718-891-5310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYURENBERG",
        "first_name": "ALLA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-29",
        "last_updated": "2008-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "044347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02510754",
            "state": "NY"
        }
    ],
    "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 Aug 29, 2008; 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.