DR. VENIAMIN YAGUDAYEV (NPI# 1215557947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215557947 |
| Entity Type | Individual |
| Full Name | DR. VENIAMIN YAGUDAYEV |
| Credential | PHARM.D |
| Practice Address |
6560 Wetherole St Apt 2a Rego Park NY 11374-4724 |
| Practice Telephone | 6462700799 |
| Mailing Telephone | 6462700799 |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2020-04-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 066642 | NY | Pharmacy Service Providers |
| Street Address |
6560 WETHEROLE ST APT 2A |
| City | REGO PARK |
| State | NY |
| Zip Code | 11374-4724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134747579 | Washington Andres Sanchez | Occupational Therapist | 61 80 Woodhaven Blvd, Rego Park, NY 11374 | 2020-07-13 |
| 1285261636 | Joanna Rucinska | Home Health Aide | 6140 Wetherole Street, Rego Park, NY 11374 | 2020-03-25 |
| 1134605751 | Ella Yusupova | Specialist | 6620 Wetherole Street, Apt#2d, Rego Park, NY 11374 | 2018-07-17 |
| 1316435290 | Ilya Nektalov | Pharmacist | 9002 63rd Dr Apt 2h, Rego Park, NY 11374 | 2018-04-26 |
| 1467956623 | Celeste Lucas-powers | Social Worker | 97-37 Queens Blvd, Queens, NY 11374 | 2018-03-22 |
| 1306358114 | Mazal Katanov-nektalov | Occupational Therapist | 65-09 99th St, Apt.1t, Rego Park Queens,ny, NY 11374 | 2017-11-02 |
| 1497273866 | Alex Adrian Medina Abragan | Physical Therapist | 8616 63rd Drive, 2nd Floor, Rego Park, NY 11374 | 2017-09-06 |
| 1417472374 | Natella Yagoudaeva | Physician Assistant | 65-60 Wetherole St. Apt 4d, Rego Park, NY 11374 | 2017-08-11 |
| 1477083491 | Kei Petersen | Social Worker | Rego Park Counseling Center, 97-77 Queens Blvd., Ph Floor, Rego Park, NY 11374 | 2017-06-13 |
| 1558890988 | Irina Simidchieva | 6210 99th Street, Apt.6a, Rego Park, NY 11374 | 2017-06-08 | |
| Find all providers in zip 11374 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502107 | Roman R Domatov | Pharmacist | 9618 67th Ave, Rego Park, NY 11374-5138 | 2020-09-13 |
| 1194362285 | Jessica Haimov | Pharmacist | 8911 63rd Dr Apt 106, Rego Park, NY 11374-3811 | 2019-12-08 |
| 1164989364 | Riveka Israilova | Pharmacist | 9841 65th Ave Apt 3d, Rego Park, NY 11374-3437 | 2019-02-23 |
| 1710456553 | Kelly Shengli Duan | Pharmacist | 6134 Austin St, Rego Park, NY 11374-1032 | 2018-11-23 |
| 1932684826 | Esther Shimonov | Pharmacist | 6360 102nd St Apt B11, Rego Park, NY 11374-2433 | 2018-09-26 |
| 1316435290 | Ilya Nektalov | Pharmacist | 9002 63rd Dr Apt 2h, Rego Park, NY 11374 | 2018-04-26 |
| 1841794146 | Zinaida Mulodzhanova | Pharmacist | 6441 Saunders St Apt 608, Rego Park, NY 11374-3200 | 2018-03-21 |
| 1295238152 | Maria Abramov | Pharmacist | 9958 66th Ave Apt 6f, Rego Park, NY 11374-3631 | 2018-03-16 |
| 1316450455 | David Pinhasov | Pharmacist | 9811 Queens Blvd Apt 2e, Rego Park, NY 11374-3311 | 2017-11-12 |
| 1881106680 | Dani Kandov | Pharmacist | 6333 98th Pl Apt 5j, Rego Park, NY 11374-2318 | 2017-11-02 |
| Find all providers in REGO PARK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.