Individual provider Active NPI

Yefim Bubis, RPH

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1952585002
Registry record updated Dec 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
050017-1 Issued in NY
Practice address
1810 Church Ave
Brooklyn, NY 11226-3706
Phone
(718) 314-8002
Fax
(718) 941-2300
NPI assigned
Dec 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 050017-1 NY Primary

Addresses

Primary practice location

1810 Church Ave
Brooklyn, NY 11226-3706

Mailing address

1810 Church Ave
Brooklyn, NY 11226-3706
Phone (718) 314-8002

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
050017-1NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260748800000",
    "number": "1952585002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112263706",
            "telephone_number": "718-314-8002",
            "fax_number": "718-941-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112263706",
            "telephone_number": "718-314-8002",
            "fax_number": "718-941-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUBIS",
        "first_name": "YEFIM",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-26",
        "last_updated": "2009-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "050017-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 14, 2009; 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.