ALIK ILYADZHANOV (NPI# 1871914341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871914341 |
| Entity Type | Individual |
| Full Name | ALIK ILYADZHANOV |
| Practice Address |
11514 Beach Channel Dr Rockaway Park NY 11694-2206 |
| Practice Telephone | 7183185000 |
| Mailing Telephone | 7183185000 |
| Enumeration Date | 2013-12-30 |
| Last Update Date | 2014-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | Pharmacy Service Providers |
| Street Address |
11514 BEACH CHANNEL DR |
| City | ROCKAWAY PARK |
| State | NY |
| Zip Code | 11694-2206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235538133 | Mariya Bondarenko | Pharmacist | 11514 Beach Channel Dr, Rockaway Park, NY 11694-2206 | 2014-08-15 |
| 1821411059 | A & L Pharmacy Corp | Pharmacy | 11514 Beach Channel Dr, Rockaway Park, NY 11694-2206 | 2014-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235775941 | Shrok Sayed Elsayed | Physical Therapist | 234 Beach 124th St, Rockaway Park, NY 11694 | 2019-11-18 |
| 1730720699 | Mary Kay A Gibbons | Registered Nurse | 1 Beach 105 Street, 12f, Rockaway Park, NY 11694 | 2019-10-02 |
| 1275026684 | Aba Tree | Behavioral Analyst | 142 B120 Street, Rockaway Street, NY 11694 | 2018-06-11 |
| 1235640855 | Rockaways Asc Development, LLC. | Clinic/Center | 105-20 Rockaway Beach Blvd, Suite 301, Rockaway Park, NY 11694 | 2017-10-23 |
| 1841721479 | Mary Mongelli | Behavioral Analyst | 414 Beach124 Street, Belle Harbor, NY 11694 | 2017-03-24 |
| 1033659495 | Tri Center | Community/Behavioral Health | 2488 Grand Concourse Suite 417, Bronx, NY 11694 | 2017-03-06 |
| 1083079446 | Bernadette Favard | Licensed Practical Nurse | 140 Beach 114street, Promenaden Ursing Home, Rockaway Park, NY 11694 | 2015-12-29 |
| 1801231808 | Matthew Tagliavia | Pharmacist | 449 Beach 129th St, Belle Harbor, NY 11694 | 2013-05-03 |
| 1831445436 | Megan Leigh Hill | Social Worker | 140 Beach 112th St, Rockaway Park, NY 11694 | 2012-08-01 |
| 1710241112 | Scott Blutstein | Specialist | 411 Beach 133 Street, Rockaway Park, NY 11694 | 2012-06-29 |
| Find all providers in zip 11694 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718127 | Hajin Yang | Pharmacy Technician | 26240 60th Ave, Little Neck, NY 11362-2504 | 2020-10-20 |
| 1689297657 | Wesley D Joseph | Pharmacy Technician | 116 Springfield Rd, Brentwood, NY 11717-4734 | 2020-05-25 |
| 1639706682 | Evan Leigh | Pharmacy Technician | 1100 Main St Ste 120, Buffalo, NY 14209-2308 | 2020-03-26 |
| 1538641907 | Michelle Flores | Pharmacy Technician | 754 E 151 St, Bronx, NY 10455 | 2018-09-03 |
| 1093221939 | Dylan S Blumberg | Pharmacy Technician | 728 Burt Rd, Little Falls, NY 13365-6126 | 2017-12-14 |
| 1710335088 | Olujoba Adebolu | Pharmacy Technician | 18230 Tudor Rd, Jamaica, NY 11432-1510 | 2016-05-27 |
| 1982064986 | Ann Theresa Carlos | Pharmacy Technician | 100 Duffy Ave, Hicksville, NY 11801-3636 | 2016-03-03 |
| 1669848115 | Titus Thomas Mathew | Pharmacy Technician | 118 Elm Ln, New Hyde Park, NY 11040-2406 | 2015-08-19 |
| 1467843748 | Joanna Keegan | Pharmacy Technician | 98 Veterans Memorial Highway, Commack, NY 11725 | 2015-02-09 |
| 1811387350 | Danielle Marino Ix | Pharmacy Technician | 61 Katherine St, Port Jefferson Station, NY 11776-1709 | 2015-02-04 |
| Find all providers with the same taxonomy | ||||
| City | ROCKAWAY PARK |
| Zip Code | 11694 |
Please comment or provide details below to improve the information on ALIK ILYADZHANOV.
| 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.