Active NPI
Arkadiy Davydov, PHARM D
- Pharmacist
- New York, NY
National Provider Identifier
1972819522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 055038
- Practice address
- 1299 1St Ave
New York, NY 10021-5503 - Phone
- (212) 535-1700
- Fax
- (212) 535-1722
- NPI assigned
- Aug 20, 2010
- Last updated
- Mar 16, 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 | 055038 | NY | Primary |
Addresses
Primary practice location
1299 1St Ave
New York, NY 10021-5503
Mailing address
12 Candy LN
Roslyn Heights, NY 11577-1810
Phone (516) 697-7004
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
| License | State | Type | Specialty |
|---|---|---|---|
| 055038 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Escript360 Nyc LLC | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| H & C Chemists Inc | Past | Accepting new patients |
Locations
1299 1st Ave
New York, NY 10021
Phone (212) 535-1700
Organizations & group practices 4
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
- New York, NY
- NPI 1639885460
-
- Community/Retail Pharmacy
- New York, NY
- NPI 1801187166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678924800000",
"number": "1972819522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 CANDY LN",
"city": "ROSLYN HEIGHTS",
"state": "NY",
"postal_code": "115771810",
"telephone_number": "516-697-7004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1299 1ST AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100215503",
"telephone_number": "212-535-1700",
"fax_number": "212-535-1722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVYDOV",
"first_name": "ARKADIY",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-20",
"last_updated": "2023-03-16",
"certification_date": "2023-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "055038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.