ALEKSANDR KHAITOV (NPI# 1669894614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669894614 |
| Entity Type | Individual |
| Full Name | ALEKSANDR KHAITOV |
| Practice Address |
10005 Roosevelt Ave Corona NY 11368 |
| Mailing Address |
393 Front St Hempstead NY 11550-4026 |
| Practice Telephone | 7188981100 |
| Practice Fax Number | 7188981101 |
| Mailing Telephone | 5164892211 |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2019-08-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 058812 | NY | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NEW YORK BOARD OF PHARMACY | 058812 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 393 Front St, Hempstead, NY 115504026 | 5164892211 |
| Street Address |
10005 ROOSEVELT AVE |
| City | CORONA |
| State | NY |
| Zip Code | 11368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154383453 | Suzanne B Plotnik-scheir | Chiropractor | 10005 Roosevelt Ave, Corona, NY 11368-4880 | 2006-04-04 |
| 1902310139 | Limor Allaeb | Pharmacist | 10005 Roosevelt Ave, Corona, NY 11368-4880 | 2017-11-27 |
| 1538691720 | Ophthalmology Specialists of New York LLC | Clinic/Center | 10005 Roosevelt Ave, Corona, NY 11368-4880 | 2017-03-28 |
| 1265805683 | Jae Hoon Kim | Chiropractor | 10005 Roosevelt Ave, Suite 202, Corona, NY 11368-4880 | 2015-11-06 |
| 1336516210 | Wellness Medical of Corona PC | Family Medicine | 10005 Roosevelt Ave, Suite 203, Corona, NY 11368-4880 | 2015-08-27 |
| 1003283888 | First Aid Medical, P.C. | Family Medicine | 10005 Roosevelt Ave, Suite 203, Corona, NY 11368-4880 | 2015-08-27 |
| 1457732901 | Corona Chiropractic Health Services P.C. | Chiropractor | 10005 Roosevelt Ave, Suite 202, Corona, NY 11368-4880 | 2015-06-10 |
| 1477893386 | Vip Pharmacy Corp. | Pharmacy | 10005 Roosevelt Ave, Corona, NY 11368-4880 | 2013-03-01 |
| 1205088176 | Weining Hsia | Pharmacist | 10005 Roosevelt Ave, Corona, NY 11368-4880 | 2008-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760014039 | Marukh Naeem | Behavioral Analyst | 11119a Roosevelt Ave, Apt 2r, Apt 2r, Corona, NY 11368 | 2020-02-05 |
| 1164072989 | Tonyia Michelle Madison | Counselor | 34-10 108 Street, Corona, Queens, NY 11368 | 2019-09-13 |
| 1962987347 | Sinead Anel Ulloa | Speech-Language Pathologist | 10420 37th Rd, Corona, NY 11368 | 2018-10-01 |
| 1245725779 | Bracha Namdar | Optometrist | 103-06 Roosevelt Ave, Corona, NY 11368 | 2018-06-27 |
| 1548758220 | Karina Elizabeth Carrasco | Specialist | 96- 32 46th Ave, Corona, NY 11368 | 2018-04-27 |
| 1134634033 | Nicole Iuculano | Speech-Language Pathologist | 43-18 97th Place, Corona, NY 11368 | 2017-12-13 |
| 1558880831 | Abenaa Nyame Danquah | Registered Nurse | 55-25 98th Place, Apt 1k, Corona, NY 11368 | 2017-09-18 |
| 1063940443 | Brand Rx Pharmacy Corp | Pharmacy | 97-05 A 57th Avenue, Corona, NY 11368 | 2017-05-30 |
| 1427595909 | Richelle Krish Sumaoy Colmenares | Physical Therapist | 3744 104th St., Corona, New York City, NY 11368 | 2017-01-23 |
| 1235674342 | 39th Avenue Physical Therapy PC | Clinic/Center | 103-18c 39 Ave, Corona, NY 11368 | 2016-12-28 |
| Find all providers in zip 11368 | ||||
| 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 |
|---|---|---|---|---|
| 1376151290 | Charmi Gajera | Pharmacist | 1164 Stone Pine Ln Unit A, Corona, CA 92879-2646 | 2020-07-16 |
| 1114558517 | Jan D Kum | Pharmacist | 4485 Signature Dr, Corona, CA 92883-0633 | 2020-02-04 |
| 1538703079 | Ibtihal M Kadour | Pharmacist | 1798 Kapalua Bay Ln, Corona, CA 92883-0783 | 2019-10-28 |
| 1750856092 | Ting Chen | Pharmacist | 3525 100th St, Corona, NY 11368-1852 | 2018-10-12 |
| 1326573650 | Huong Le | Pharmacist | 2284 Marsant Ave, Corona, CA 92882-7592 | 2017-04-24 |
| 1164957668 | Robert Wilson | Pharmacist | 11950 De Palma Rd, Corona, CA 92883-8499 | 2017-04-22 |
| 1700325958 | Nathan Wu | Pharmacist | 4290 San Viscaya Cir, Corona, CA 92882-7955 | 2017-02-21 |
| 1285088229 | Kenneth Ahlrich | Pharmacist | 14829 Burrows Way, Corona, CA 92880-4503 | 2016-04-15 |
| 1881067205 | Yong Phou | Pharmacist | 7590 Sanctuary Dr, Corona, CA 92883-5942 | 2015-11-06 |
| 1336511633 | Shaikh A Ansari Sr. | Pharmacist | 11119 Roosevelt Ave, Corona, NY 11368-2625 | 2015-10-26 |
| Find all providers in CORONA | ||||
Please comment or provide details below to improve the information on ALEKSANDR KHAITOV.
| 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.