ILYA NEKTALOV


Address: 9002 63rd Dr Apt 2h, Rego Park, NY 11374
Phone: 9177745179

ILYA NEKTALOV (NPI# 1316435290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316435290
Entity Type Individual
Full Name ILYA NEKTALOV
Practice Address 9002 63rd Dr Apt 2h
Rego Park
NY 11374
Mailing Address 9002 63rd Dr Apt 2h
Rego Park
NY 11374-3804
Practice Telephone 9177745179
Enumeration Date 2018-04-26
Last Update Date 2018-08-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 063752 NY Pharmacy Service Providers

Office Location

Street Address 9002 63RD DR APT 2H
City REGO PARK
State NY
Zip Code 11374

Providers in the same zip code

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
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
1851820369 Marina Kimatova Occupational Therapist 66-20 Wetherole St #2a, Rego Park, NY 11374 2017-06-08
Find all providers in zip 11374

Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811502107 Roman R Domatov Pharmacist 9618 67th Ave, Rego Park, NY 11374-5138 2020-09-13
1215557947 Veniamin Yagudayev Pharmacist 6560 Wetherole St Apt 2a, Rego Park, NY 11374-4724 2020-04-22
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
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

Competitor

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City REGO PARK
Zip Code 11374

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Dataset Information

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.

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