Individual provider Active NPI

Yana Gandelman, PHARMD

  • Pharmacist
  • Hallandale Beach, FL
National Provider Identifier
1962649764
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
053002 Issued in NY
Practice address
409 W Hallandale Beach Blvd Ste 417
Hallandale Beach, FL 33009
Phone
(954) 947-5009
NPI assigned
Jan 15, 2009
Last updated
Aug 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 053002 NY Primary

Addresses

Primary practice location

409 W Hallandale Beach Blvd Ste 417
Hallandale Beach, FL 33009

Mailing address

409 W Hallandale Beach Blvd Ste 417
Hallandale Beach, FL 33009-5301

Other practice location 1

2094 Linden Blvd
Brooklyn, NY 11207-7412
Phone (347) 770-8633

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
053002NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Best Organic Pharmacy CurrentSince Aug 18, 2019 Accepting new patients
Almark Pharmacy Inc. Past Accepting new patients

Locations

409 W Hallandale Beach Blvd
Ste 417
Hallandale Beach, FL 33009
Phone (754) 779-3878

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1962649764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 W HALLANDALE BEACH BLVD STE 417",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330095301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 W HALLANDALE BEACH BLVD STE 417",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "33009",
            "telephone_number": "954-947-5009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2094 Linden Blvd",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112077412",
            "country_code": "US",
            "telephone_number": "347-770-8633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANDELMAN",
        "first_name": "YANA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-15",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "053002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; 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.