Active NPI
Yury Arabov
- Pharmacist
- Glen Cove, NY
National Provider Identifier
1942487624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 046301
- Practice address
- 100 Village SQ Ste 130
Glen Cove, NY 11542-2669 - Phone
- (516) 201-2820
- Fax
- (516) 201-0819
- NPI assigned
- Jan 25, 2008
- Last updated
- Jul 6, 2023
- 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 | 046301 | NY | Primary |
Addresses
Primary practice location
100 Village SQ Ste 130
Glen Cove, NY 11542-2669
Mailing address
100 Village SQ Ste 130
Glen Cove, NY 11542-2669
Phone (516) 201-2820
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
| License | State | Type | Specialty |
|---|---|---|---|
| 046301 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Village Square RX Corp. | Current | Accepting new patients |
Locations
100 Village Sq
Ste 130
Glen Cove, NY 11542
Phone (516) 201-2820
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- Glen Cove, NY
- NPI 1770280927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688601600000",
"number": "1942487624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 VILLAGE SQ STE 130",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "115422669",
"telephone_number": "516-201-2820",
"fax_number": "516-676-7401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 VILLAGE SQ STE 130",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "115422669",
"telephone_number": "516-201-2820",
"fax_number": "516-201-0819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARABOV",
"first_name": "YURY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-25",
"last_updated": "2023-07-06",
"certification_date": "2023-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "046301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Cove, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.