DR. RANDALL J NOVAK


Address: 892 Ninth Avenue, New York, NY 10019
Phone: 2124450932

DR. RANDALL J NOVAK (NPI# 1366725822) 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) 1366725822
Entity Type Individual
Full Name DR. RANDALL J NOVAK
Credential PHARMD
Practice Address 892 Ninth Avenue
New York
NY 10019
Mailing Address 892 9th Ave
New York
NY 10019-1703
Practice Telephone 2124450932
Practice Fax Number 2124450936
Mailing Telephone 2124450932
Mailing Fax Number 2124450936
Enumeration Date 2011-09-21
Last Update Date 2011-09-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
048279-1 NY Pharmacy Service Providers

Office Location

Street Address 892 NINTH AVENUE
City NEW YORK
State NY
Zip Code 10019

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Taxonomy Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new]

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1497285902 Krisoula Horiates Spatz Pharmacist 1275 York Ave Rm 722, New York, NY 10065-6007 2017-06-16
1306204367 Juanetta Afia Asare-wassow Pharmacist 45 W 139th St Apt 6l, New York, NY 10037-1405 2016-02-05
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1912257593 Danielle Longo Pharmacist 33 W 23rd St, New York, NY 10010-5389 2012-09-11
1235453358 Vernon Schlamowitz Pharmacist 50 University Pl., New York, NY 10003 2010-03-18
1013163617 John Joseph Guerra Pharmacist 17 Battery Place, Duane Reade Pharmacy, New York, NY 10004 2008-08-14
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Competitor

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City NEW YORK
Zip Code 10019

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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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