Stella Maksumova, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

024681 Issued in NY

Practice address

2291 Merrick Rd
Merrick, NY 11566-4756

Phone

(516) 378-8222

NPI assigned

Mar 3, 2010

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267574400000",
    "number": "1932422011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6361 YELLOWSTONE BLVD",
            "address_2": "#1M",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751577",
            "telephone_number": "718-896-0490",
            "fax_number": "516-378-2418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2291 MERRICK RD",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664756",
            "telephone_number": "516-378-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKSUMOVA",
        "first_name": "STELLA",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-03",
        "last_updated": "2010-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "024681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LIC# IN NY",
            "identifier": "024681",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Maggiotta, B.A.
• Michael Robert Maher, RD, MS, CDN, CSR
• John Tsambikos Mahramas
• Helene M Mair, PH.D.
• Sunny Makhijani
• Marcia Malis, PT
• Samantha Malis, LCSW
• Benjamin Malkin, LCSW
• Danielle Christina Malkusz-Lewis, PH.D.
• Pavlos Malonoukos, DMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; 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.