Individual provider Active NPI

Sophia Pinkhasova

  • Pharmacist
  • Douglaston, NY
National Provider Identifier
1952885683
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
064655 Issued in NY
Practice address
4031 235TH St
Douglaston, NY 11363-1509
Phone
(718) 819-8130
NPI assigned
Sep 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 064655 NY Primary

Addresses

Primary practice location

4031 235TH St
Douglaston, NY 11363-1509

Mailing address

7511 179TH St
Fresh Meadows, NY 11366-1629
Phone (917) 373-7843

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

LicenseStateTypeSpecialty
064655NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Manor Meds Pharmacy Corp. CurrentSince Aug 17, 2025 Accepting new patients
Olive Tree RX Pharmacy Corp. Pharmacist Current Accepting new patients

Locations

4031 235th St
Little Neck, NY 11363
Phone (718) 819-8130

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1952885683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7511 179TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661629",
            "telephone_number": "917-373-7843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4031 235TH ST",
            "city": "DOUGLASTON",
            "state": "NY",
            "postal_code": "113631509",
            "telephone_number": "718-819-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINKHASOVA",
        "first_name": "SOPHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-19",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "064655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglaston, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; 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.