Individual provider Active NPI

Inna Khayumova, PHARMD

  • Pharmacist
  • Flushing, NY
National Provider Identifier
1952587560
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
049894 Issued in NY
Practice address
158-02 Union Turnpike
Rite-Aid Pharmacy
Flushing, NY 11366
Phone
(718) 380-6752
NPI assigned
Jan 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 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 049894 NY Primary

Addresses

Primary practice location

158-02 Union Turnpike
Rite-Aid Pharmacy
Flushing, NY 11366

Mailing address

15010 79TH Ave Apt 1C
Flushing, NY 11367-3915

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

LicenseStateTypeSpecialty
049894NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200268800000",
    "number": "1952587560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15010 79TH AVE APT 1C",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158-02 UNION TURNPIKE",
            "address_2": "RITE-AID PHARMACY",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11366",
            "telephone_number": "718-380-6752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAYUMOVA",
        "first_name": "INNA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-14",
        "last_updated": "2008-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "049894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.